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antidiarrheals
- absorbents
- anticholinergics / antispasmodics
- intestinal flora modifiers (probiotics)
- opiates
-Teach clients to take medications exactly as prescribed; to be aware of their fluid intake and dietary changes; to notify their physician immediately if symptoms persist
-Assess fluid volume status, I&O, and mucous membranes before, during, and after initiation of treatment
- Only use antibiotics to treat diarrhea caused by severe infections with Salmonella, Shigella, Campylobacter or Clostridium.
absorbents
i.e. bismuth subsalicylate (Bismuth, Maalox, Pepto-Bismol), activated charcoal, attapulgite (Kaopectate)
MOA - Coat the walls of the GI tract & bind to the causative bacteria or toxin, then eliminated through the stool
S/E - Increased bleeding time
-Constipation, dark stools
DO NOT give bismuth subsalicylate to children younger than age 16 or teenagers with chicken pox because of the risk of Reye’s syndrome
Use adsorbents carefully in geriatric clients or those with decreased bleeding time, clotting disorders, recent bowel surgery, confusion
anticholinergics / antispasmodics
i.e. atropine, hyoscyamine
MOA - Decrease intestinal muscle tone and peristalsis of GI tract, slowing the movement of fecal matter through the GI tract
S/E - Urinary retention, hesitancy
- Impotence
- Headache, dizziness, confusion, anxiety, drowsiness
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