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20 Cards in this Set
- Front
- Back
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Name 5 groups of laxatives?
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bulk-forming
osmotics salines stimulant stool softeners |
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Name 2 bulk-forming agents?
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polycarbophil
psyllium |
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Name 3 osmotics?
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lactulose
polyethylene glycol/electro- lyte polyethylene glycol |
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Name 6 salines?
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magnesium chloride
magnesium citrate magnesium gluconate magnesium hydroxide magnesium oxide phosphate/biphosphate |
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Name 2 stimulant laxatives?
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bisacodyl
sennosides |
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Name 1 stool softener?
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docusate
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The general use for laxatives is to? (2)
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prevent constipation
to prepare the bowel for radiologic or endoscopic procedures |
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When using laxatives, induce one or more bowel movements per day. What 3 things are useful in management of chronic constipation?
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increasing fluid intake
exercising adding more dietary fiber |
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Contraindications?
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hypersensitivity
persistent abdominal pain, nausea, vomiting of unknown cause;, esp. if with fever or other signs of an acute abdomen |
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Precautions?
Excessive or prolonged use may lead to _____. Should not be used in children unless advised by a physician or other hcp. |
dependence
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Interactions?
Theoretically may decrease the absorption of other orally administered drugs by decreasing transit time. |
okay
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What should the nurse assess for when patient is taking laxatives?
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abdominal distention
presence of bowel sounds usual pattern of bowel function color consistency amount |
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Name 2 potential diagnoses?
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Constipation
Knowledge, deficient, related to disease processs and medication regimen |
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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 |
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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.
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spinal cord
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Advise patient to increase fluid intake to a minimum of ____-_____ ml/day during therapy to prevent dehydration.
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1500-2000 ml/day
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Encourage patients to use other forms of bowel regulation. Name 3.
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increase bulk
increase fluid intake increase mobility (normal bowel habits are individualized and may vary from 3 times/day to 3 times/week |
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Instruct patient with cardiac disease to avoid ____ during bowel movements (Valsalva maneuver).
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straining
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Advise patient that laxatives should not be used when constipation is accompanied by (4)?
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abdominal pain
fever nausea vomiting |
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EVALUATION:
Effectiveness of therapy can be demonstrated by? |
a soft, formed bowel movement...
evacuation of the colon |
