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20 Cards in this Set

  • Front
  • Back
Name 5 groups of laxatives?
bulk-forming
osmotics
salines
stimulant
stool softeners
Name 2 bulk-forming agents?
polycarbophil
psyllium
Name 3 osmotics?
lactulose
polyethylene glycol/electro-
lyte
polyethylene glycol
Name 6 salines?
magnesium chloride
magnesium citrate
magnesium gluconate
magnesium hydroxide
magnesium oxide
phosphate/biphosphate
Name 2 stimulant laxatives?
bisacodyl
sennosides
Name 1 stool softener?
docusate
The general use for laxatives is to? (2)
prevent constipation
to prepare the bowel for
radiologic or endoscopic
procedures
When using laxatives, induce one or more bowel movements per day. What 3 things are useful in management of chronic constipation?
increasing fluid intake
exercising
adding more dietary fiber
Contraindications?
hypersensitivity
persistent abdominal pain,
nausea, vomiting of unknown
cause;, esp. if with fever
or other signs of an acute
abdomen
Precautions?
Excessive or prolonged use may lead to _____. Should not be used in children unless advised by a physician or other hcp.
dependence
Interactions?
Theoretically may decrease the absorption of other orally administered drugs by decreasing transit time.
okay
What should the nurse assess for when patient is taking laxatives?
abdominal distention
presence of bowel sounds
usual pattern of bowel
function
color
consistency
amount
Name 2 potential diagnoses?
Constipation
Knowledge, deficient, related
to disease processs and
medication regimen
IMPLEMENTATION:
Many laxatives may be
administered at bedtime for
______ results.
Taking oral doses on an empty
stomach usually produces
more ____ results.
Do not crush or chew enteric-
coated tablets. Take with
a full glass of water or
juice.
Stool softeners and bulk
laxatives may take several
____ for results.
morning
rapid
days
Advise patients, other than those with ___ ___ injuries, that laxatives should be used only for short-term therapy. Long-term therapy may cause electrolyte imbalance and dependence.
spinal cord
Advise patient to increase fluid intake to a minimum of ____-_____ ml/day during therapy to prevent dehydration.
1500-2000 ml/day
Encourage patients to use other forms of bowel regulation. Name 3.
increase bulk
increase fluid intake
increase mobility

(normal bowel habits are individualized and may vary from 3 times/day to 3 times/week
Instruct patient with cardiac disease to avoid ____ during bowel movements (Valsalva maneuver).
straining
Advise patient that laxatives should not be used when constipation is accompanied by (4)?
abdominal pain
fever
nausea
vomiting
EVALUATION:
Effectiveness of therapy can be demonstrated by?
a soft, formed bowel movement...
evacuation of the colon