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what metablolic and endocrine disorders causes constipation?
diabetes, hypothyroidism, pregnancy
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what neurogenic factors casues constipation
autonomic neurpathy, multiple sclerosis, spinal cord lesions, Parkinson's disease, CVA
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what adverse drug effects casues constipation?
analgesics, anticholinergics, iron supplements, opiates, aluminum and calcium antacids
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psyllum(metamucil)
bulk forming laxative
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methylcellulose
bulk forming laxative
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polycarbophil
bulk forming laxative
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docusate salts (colace, surfak)
stool softners
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mineral oil is a what?
lubricant
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laculose and miralax are what type of laxatives?
hyperosmotics (increase fecal water content)
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magnesium sulfate, MOM, magnesium citrate, sodium phosphate are what type of laxatives?
saline (increase the osmotic pressure within the intestinal tract cause more water to enter the intestines
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castor oil is what type of laxative
stimulant (increases the peristalis via the intestinal nerve stimulation)
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what laxative group do you use for acute and chronic constipaiton, irritable bowel syndrome, and diverticulosis (pockets that form in the gut)
bulk forming
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what laxative group do you use for acute and chronic constipation, softening of fecal impaction, and facilitation of BMs in anorectal conditions
emmolient
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WHAT laxative group do you use for chronic constipation, diagnostic preps, constipation, removal of helminths and parasite
saline
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what LG do you use for acute constipation and diagnostic and surgical bowel preps
stimulant
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what LG do you use for adverse effects of
impaction and fluid overload
bulk forming
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what laxative group do you use for adverse effects skin rashes, decreased absorption of vitamins
emollient
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what LG do you use for adverse effects abdominal bloating, and rectal irritaiton
hyperosmotic
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what LG group do you use for AE of magnesium toxicity, crampin, diarrhea, increased thirst
saline
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what LG do you use for AE with nutrient malabsorption, skin rashes, gastric irritation, and rectal irritation
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what are emetics use for?
in emegency situations to remove poisons from the stomach
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what does Apomorphine do?
acts directly on the CNS to casue vomiting in emergency situation to remove posion from the stomach
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this is take PO and acts as a gastric irritant to produce vomiting
syrup of ipecac
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never use emetics after the ingestion of what?
corrosive or caustic substance
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