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CTSP & Diarrhea Chapter 73 Questions And Verified Answers
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CTSP & Diarrhea Chapter 73 Questions AndVerified Answers
constipation- Answer infrequent BM (<3x/week)
difficulty passing stool
chronic idopathic constipation (IBS-C)- Answer ctsp for several weeks or longer with an
unknown cause
what is idopathic constipation associated with- Answer chronic/recurrent abd
discomfort
relieved by defecation
medical conditions that cause constipation- Answer IBS-C
MS
PD
DM
cerebrovascular events
anal disorders-fissures, fistulas, rectal prolapse
spinal cord tumors
hypothyroidism
non-drug constipation tx- Answer increasing fluids (>64 oz day)
increasing physical activity
high fiber foods
, drugs which cause constipation - Answer antacids (aluminium/calcium containing)
nantidiarrheals
clonidine
colesevelam
anticholinergic effects
--> antihistamines, antispasmodics, phenothiazines, TCAs, urge incontinence drugs
iron
non-DHP CCB (esp verapamil)
opioids
sucralafate (has aluminium)
how long do we treat constipation with OTC drugs - Answer 7 days
bulk-forming laxatives MOA - Answer absorb water into intestine soaking up fluid and
adding bulk to stool
--> increases peristalsis and decreases stool transit time
bulk-forming laxative products - Answer psyllium (metamucil)
calcium polycarbophil (fiberCon)
methylcellulose (citrucel)
wheat dextrin (benefiber)
bulk-forming laxatives ADR - Answer flatulence
abd cramping
bloating
requires adequate fluids
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