stoma

Question 1

preparation that are unsuitable

Answer 1

e/c and m/r unsuitable and avoid sorbitol as has laxative effects

Question 2

advice

Answer 2

high doses loperamide or add codeine
- PPI to reduce gi secretion and stoma output
- vulnerable to gi s/e Mg and AL antacid, nsaid, opioid, iron give IM

Question 3

What medicines make a stoma patient more vulnerable

Answer 3

1) diuretics= hypokalaemia and dehydrate
2) avoid laxative; try increase fibre or bulk if have to
3) hypokalaemia inc risk digoxin toxicity