Lubricants Flashcards

1
Q

Lubricants Drug Names

A

Docusate
Glycerin
Mineral Oil

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2
Q

Lubricants Therapeutic Actions

A

• Not absorbed systemically

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3
Q

Lubricants Indications

A
  • Docusate:
    Has a detergent action on the surface of the intestinal bolus, making a softer stool
  • Glycerin: Hyperosmolar laxative used to gently evacuate the rectum without systemic effects higher in the GI tract
  • Mineral Oil: Forms a slippery coat on the contents of the intestinal tract
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4
Q

Lubricants Contraindications and Cautions

A

Contraindications:
• Allergy
• Acute abdominal disorders

Caution:
• Heart block
• CAD
• Debilitation

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5
Q

Lubricants DDI

A

DDI:

• Frequent use of mineral oil can interfere with absorption of the fat-soluble D, A, E, K.

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6
Q

Lubricants Adverse Effectts

A
  • GI: diarrhea, abdominal cramping, nausea; leakage and staining with mineral oil
  • CNS: dizziness, headache, weakness
  • Sweating, palpitations, flushing, fainting
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7
Q

Lubricants:

Assessment

A

Hx: Allergy, lactation and pregnancy
Physical: vital signs, abdominal, fecal assessment or intestinal obstruction, acute abdominal pain, bowel sounds, elimination pattern, nausea or vomiting, neurological status, level of activity (baseline)
Labs: monitor results

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8
Q

Lubricants:

Diagnosis

A
  • Acute pain
  • Diarrhea
  • Deficient knowledge regarding drug therapy
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9
Q

Lubricants:

Implementation

A
  • Administer a laxative only as a temporary measure
  • Arrange for appropriate dietary measures, exercise, and environmental controls
  • Administer the oral form with a full glass of water and caution the patient not to chew tablets
  • Administer bulk laxatives with plenty of water
  • Insert rectal suppositories high into the rectum; encourage patients to retain enemas or rectal solution
  • Do not administer in the presence of acute abdominal pain, nausea, or vomiting
  • Monitor bowel function
  • Provide comfort and safety measures
  • Provide thorough patient teaching
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10
Q

Lubricants:

Evaluation

A
Response to the drug 
Adverse effects
 Effectiveness of comfort measures
Compliance with regimen
Effectiveness of teaching plan
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