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pharm II N V D agents questions and correct answers (elaborations) with 100% accurate , verified , latest fully updated , 2024/2025 ,already passed , graded a+, complete solutions guarantee distinctions rationales| 5-star rating$11.49
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pharm II N V D agents questions and correct answers (elaborations) with 100% accurate , verified , latest fully updated , 2024/2025 ,already passed , graded a+, complete solutions guarantee distinctions rationales| 5-star rating
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Course
Nursing pharmacology
Institution
Nursing Pharmacology
pharm II N V D agents questions and correct answers (elaborations) with 100% accurate , verified , latest fully updated , 2024/2025 ,already passed , graded a+, complete solutions guarantee distinctions rationales| 5-star rating
pharm II: N/V/D agents
Terms in this set (142)
Original
medications causing constipation
opioids, CCBs, anticholinergics, paroxetine, iron supplements, calcium supplements, aluminum,
thiazide diuretics, NSAIDs
stool softener drug name
Docusate (Colace)
stool softener MOA
works as surfactant to lower surface tension of stool, allowing water to penetrate and hydrate/soften
stool
onset of stool softeners
1-3 days
uses stool softeners
- prophylaxis, S/P MI, surgery, if hemorrhoids flare
- combo w other laxative for opioid-induced constipation
precautions stool softeners
efficacy is questionable, quality of evidence is low
special populations stool softeners
popular with older adults, pregnancy, children
contraindication stool softeners
in use with mineral oil, increases the oil absorption and can cause toxicity, red dye allergy
mineral oil MOA
softens stool and lubricates lining of gut, facilitation defecation
intestinal lubricant drug name
mineral oil
onset mineral oil
6-8 hours in PO
uses mineral oil
occasional constipation, not commonly used
precautions mineral oil
- avoid long term use for risk of aspiration pneumonia
- avoid in use in bedridden patients
- avoid in children, elderly, pregnancy
- can decrease absorption of fat-soluble vitamins
contraindication mineral oil
don't use with colace
fiber agents drug name
, psyllium, methylcellulose, metamucil, citrucel, fibercon, calcium polycarbophil
MOA fiber agents
holds water in stool --> adds bulk --> promotes peristalsis
onset fiber agents
1-3 days
use fiber agents
daily use, dietary
precautions fiber agents
- need to drink lots of water and move around
- don't use in bedridden or intestinal obstruction
side effects fiber
bloating and cramping
drug interactions fiber
separate other meds by 1-2 hrs
special populations for fiber
- older adults need to move around and drink
- ok in pregnancy w plenty of water
- limited role in opioid induced constipation
osmotic laxative drug name
glycerin
glycerine MOA
local rectal stimulation, induce evacuation
route and onset glycerine
rectal suppository
15-60 minute
use glycerine
when quick action needed
commonly used in children
can be used in pregnancy
non-absorbable sugar osmotic laxative drug name
lactulose, sorbitol
MOA non-absorbable sugar osmotic laxative
non-absorbable sugars pull water into lumen of the colon and promote peristalsis
route and onset non-absorbable sugar osmotic laxative
oral or rectal
12hrs-3days
use of non-absorbable sugar osmotic laxative
prevention and treatment chronic constipation
precautions non-absorbable sugar osmotic laxative
electrolyte imbalances in daily use
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