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LOWER GI SYSTEM

PHARM

QuestionAnswer
ANTIDIARRHEALS ACTION DECREASE INTESTINAL PARISTALISIS
DO NOT USE TRANQUILIZERS/FLATENCE MEDS AVOID SEDATION/TRANQULIZERS WITH THE DRUGS STOPS AND SLOWS DOWN BOTH
USES DIAHREA ABDOMINAL CRAMPS
EXAMPLES IMMODIUM LOMOTIL
ADVERSE REACTIONS DISCOLORED STOOLS (BISMUTH) URINARY RETENTION DROWSINESS
NURSING CONSIDERATIONS MONIOR I&O WATCH FOR ELECTRLYTE IMBALANCES AVOID ASPRIN WITH BISMUTH ENCOURAGE FLUID INTAKE
AVOID ASPRIN WITH BSIMUTH BECAUSE SALICLYTE BOTH HAVE AND DO NOT GIVE TO CHILDREN/TEENS BC OF REYES SYNDROME
ANTI FLATULENTS ACTION HELP BODY RELEASE GAS
USES POST OP GAS PEPTIC ULCER DYSPEPSIA IBS
EXXESIVE GAS USES BLOU, BURP, ABDOMINAL DISTENTION AND NAUSEA
EXAMPLES SIMETHICONE (WITE PILL CAN CHEW) MYLICON IN BABIES WITH CHOLIC) ABDM DISTENTION BURPING FLATULANCE
ADVERSE REACTIONS CONSTIPATIONS BLACK STOOLS
NURSING CONSIDERATIONS TAKE SIMETHICONE AFTER MEALS CHEW TABLETS THROUGHLY MONITOR STOOLS ENCOURAGE ACTIVY
BULK FORMING LAXATIVES ACTION ADD BULK AND WATER TO INTESTINAL CONTENTS NOT DIGESTED BY BODY
TELL PATIENTS TO INCREASE FIBER AND FLUIDS 6-8 GLASSES WATER DAILY
USES CONSTPATION IDS WATERY DIARRHEA
EXAMPLES METHYLCELLUSE PSYLLIUM POLYCARBOPHIL (FIBER -CON) CITROCELL
NURSING CONSIDERATIONS SHIORT TERM USE ONLY ENCOURAGE FLUIDS, FIBER RICH DIETS, AND ACTIVITY ASSES BOWEL SOUNDS
STIMULANT (IRRITANT) LAXATIVES ACTION STIMLULATYE PERISTALSIS
USES RELIEVE OF CONSTPATION
EXAMPLES DUCOLAX - BISACODYL SENNA MILK OF MAGNESIA
NURSIN CONSIDERATIONS SHORT TERM USE ONLY AVOID MILK AND ATACIDS ENOURAGE FLUIDS MONITOR I/O AND BOWL SOUNDS
SHORT TERM USE ONLY WHY LAZEY BOWEL SYNDROME
S/S DEHYDRATED DECREAS URINE OUTPUT AMBER COLOR, ODOR HA DRY MUCOSA MEMBRANES (TUMS)
OSMOTIC LAXITIVES action retain water in stool, softer more frequent stools
uses conspation bowel prep
examples miralax (polythylene glycol) glycerin lactulose increase ammonia levals/ used c cirrosis &liver disease
theraputic uses for ammonia levals LOC increase liver failure to pulls imonia from blood into coloN to excrete
nurisng considerations M/O ELECTROLYTES AND AMMONIA LEVALS (LACTULOSE) AVOID MILK/FOOD ASSES BIOWEL SOUNDS USE AS DRIECTED
GO LIGHTLY " NEVER GIVEN RIGTH BEFORE PROCEDURE, RISCTIRED ON CLEAR FLUIDS ASSES HYDRTATION DONT GIVE IF DEHYDRATED OR
GO LIGHTLY " TO DO * RECONSITURE, SHAKE WELL, INCOURGE TO DRIN OVER TIME
EMOLLIENT LAXATIVES ACTION LUBRICATE INTESINTALS AND STOOL
USUES CONSTIPATION FECAL IMACTION
EXAMPLES OIL RETNETION ECEMA
ADVERSER REACTIONS ELECTRLYE IMNBALANCE LOWER VITAMEN ABSORPTION LIPID PNUESMONIA
LIPID PNEUMONIA: MINERAL OISL SEVERE RISKP IF ASPIRATED AVOID IN PT WITH DYSPHASIA, ELDERLY AND BEDDREIDDEN
NURSING CONSIDERATIONS AVOID LONG TERM USE MONITOR FOR RESPITORY DISTRESS WITH ASPIRATIONS WATCH VITAMEN ABSORPTION LEVALS
STOOL SOFTENRS ACTION PROMOTE WATER RETENTION IN STOOL SOFTEN FECAL MASS
USES CONSTIPATION PREVENT STRAINING (ESP IN CARDIAC PATIENTS ) POST MI CARDIAC SOFTNER/VAGUS RESPNSE
EXAMPLES DOCUSATE SODUM
ADVERSE REACTIONS GAS/BLOATING SYNCOPE
NURSING CONSIDERATIONS TAKE WITH A FULL GLASS OF WATER ENCOURAGE ACTIVTY
Created by: mmishue
 

 



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