Card Set Information
Why would someone with Cardo Disease benefit from a stool softener?
Due to Valsalva Maneuver (bearing down to pass stool) blood is pushed to perifery and then returns to core which may trigger:
Release of thrombi (clot)
What are hemeroids and why would pt's with them benefit from a stool softener?
They're retcal vericose veins and it hurts them to poop
Contraindications for Laxatives
Unexplained abdominal pain
Symptoms of appendicitis
: Feer, lower rt quadrant pain abd pain
Regional enteritis:Increasing peristalsys can cause perferation.
Diverticulitis:Increasing peristalsys can cause perferation.
: Increasing peristalsys can cause perferation.
Acute surgical abdomen.
What are bulk forming laxatives?
Any laxatives that contains fiber.
Draws fluid into the bowel and creates viscous volume there--> increase perstal.
What is a surfactant lax?
It lubricates the bowel to aid passage.
Irritant to colon--> increase paristal
Increases tonicity of contents of bowel.
Adds fluid to stool, increases volume--> increase peristal.
Not really a laxative.
Removes amonia in chronic liver disease and draws it into the bowel.-->diarreah.
Polyetholine glycole electrolyte solution
Large volumes. (Up to 4 liters.)
BM starts ~1hr after administration.
Used as prep for rectal exame
Also called Go Lightly
Considered cathartic (feel squeekly clean)
Polyetholine glycol (miralax)
Powder, clear, tasteless, mixes with liquid
No bloating or cramping
Most pt's prefer to other laxatives.
3-4 days until effective
Relistore (Methylmaltrexone Bromide)
Used to treat opiod-induced contipation
Antagonizes Mu opiod receptors in gut.
Does not trigger receptors for pain and analgisia.
Decreases constipation without reducing analgisia.
Admin subcut, given every other day.
33% have bm within 30 min. 60% in 4 hrs
Reduce dose by half if pt has renal failure.
Vial is one use. dispose of leftovers with documentation and have witness.
Discontinue if pt stops taking opiods.
: abd pain, nausea, dizziness, diarreah.
Dose based on weight.
Do not give to pt with intestinal blockage.
Must be used within 24 hrs after drawn.
What to look for when pt has diarreah...
How frequent and what's the viscosity?
Formed, semiformed, liquid, etc?
Is a symptom, so treat cause not just symptom
Potential causes of diarreah.
Functional disorder of intestin.
: Non-movable fecal obstruction. Diarreah leaks around impaction. (Smeary, continuous diarreah.)
What are the 2 forms of anti-diarreals?
: Treats cause, ie antibiotics.
: Rx which will effect bowel in very specific ways. (ie opiods--> decrease peristal).
Bulk formers can treat both constipation and
: Decreases parasympathetic stimulation of bowel.