Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 49 views

    College of Nursing: Pharmacological Management

    Uploaded by

    JOHN PEARL FERNANDEZ
    1) Duphalac (lactulose) is an osmotic laxative used to treat constipation. It works by increasing water content in the colon and lowering pH to inhibit ammonia absorption. 2) The recommended dosage is 20cc now then BID prn. Side effects include GI issues like diarrhea, cramps, and flatulence. It can also cause electrolyte imbalances with chronic use. 3) The nurse's responsibilities are to assess for signs of constipation and monitor for side effects. The nurse educates the patient to take the drug as prescribed and increase fluid intake to prevent complications. Treatment effectiveness is evaluated to identify laxative abuse.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    College of Nursing: Pharmacological Management

    Uploaded by

    JOHN PEARL FERNANDEZ
    49 views2 pages
    1) Duphalac (lactulose) is an osmotic laxative used to treat constipation. It works by increasing water content in the colon and lowering pH to inhibit ammonia absorption. 2) The recommended dosage is 20cc now then BID prn. Side effects include GI issues like diarrhea, cramps, and flatulence. It can also cause electrolyte imbalances with chronic use. 3) The nurse's responsibilities are to assess for signs of constipation and monitor for side effects. The nurse educates the patient to take the drug as prescribed and increase fluid intake to prevent complications. Treatment effectiveness is evaluated to identify laxative abuse.

    Original Title

    LACTULOSE

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1) Duphalac (lactulose) is an osmotic laxative used to treat constipation. It works by increasing water content in the colon and lowering pH to inhibit ammonia absorption. 2) The recommended dosage is 20cc now then BID prn. Side effects include GI issues like diarrhea, cramps, and flatulence. It can also cause electrolyte imbalances with chronic use. 3) The nurse's responsibilities are to assess for signs of constipation and monitor for side effects. The nurse educates the patient to take the drug as prescribed and increase fluid intake to prevent complications. Treatment effectiveness is evaluated to identify laxative abuse.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    49 views2 pages

    College of Nursing: Pharmacological Management

    Uploaded by

    JOHN PEARL FERNANDEZ
    1) Duphalac (lactulose) is an osmotic laxative used to treat constipation. It works by increasing water content in the colon and lowering pH to inhibit ammonia absorption. 2) The recommended dosage is 20cc now then BID prn. Side effects include GI issues like diarrhea, cramps, and flatulence. It can also cause electrolyte imbalances with chronic use. 3) The nurse's responsibilities are to assess for signs of constipation and monitor for side effects. The nurse educates the patient to take the drug as prescribed and increase fluid intake to prevent complications. Treatment effectiveness is evaluated to identify laxative abuse.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Mindanao State University – Iligan Institute of Technology Student: JOHN PEARL A.

    FERNANDEZ Block: CCC


    COLLEGE OF NURSING MARIA ANTOINETTE SICLOT

    PHARMACOLOGICAL MANAGEMENT

    DRUG STUDY

    Brand Name: DUPHALAC Generic Name: LACTULOSE Drug Classification: OSMOLAR LAXARTIVES

    Dosage, Route & Frequency Drug-Drug & Drug- Side Effects Adverse Reactions
    Drug Action Indications Contraindications
    Recommended Prescribed Food Interactions (By System) (By System)

    PO 30–60 mL/d 20cc now then Increases water content and Anti-infectives: Treatment for Patients on low- GI: nausea, vomiting, EENT: tinnitus
    prn BID softens the stool. Lowers the pH decreased lactulose constipation galactose diets. diarrhea, intestinal
    of the colon, which inhibits the efficacy cramps, abdominal GI: fecal impaction
    diffusion of ammonia from the Hypersensitivity to distention, flatulence
    Other laxatives: lactulose Other: salicylate
    colon into the blood, thereby
    interference with toxicity
    reducing blood ammonia levels.
    response to lactulose
    Absorption:Less than 3%
    absorbed after oral
    administration.
    Distribution: Unknown.
    Metabolism and Excretion:
    Absorbed lactulose is excreted
    unchanged in the urine.
    Unabsorbed lactulose is
    metabolized by colonic bacteria
    to lactic, acetic, and formic
    acids.
    Half-life: Unknown

    Patient’s Name / Room No. | 1


    Responsibilities in the Nursing Process (ADPIE) Responsibilities in the Nursing Process (ADPIE)

    A: Assess patient for abdominal distention, presence of bowel sounds, and normal pattern of I: Monitor fluid intake and output. Note signs and symptoms of fluid and electrolyte imbalances
    bowel function. Assess color, consistency, and amount of stool produced. PSE: Assess mental that may result from watery stools. Habitual use of laxatives can cause fluid volume deficit,
    status (orientation, level of consciousness) before and periodically throughout course of therapy. electrolyte losses, and loss of urge to defecate. Encourage patient to increase water intake (if
    Monitor serum electrolytes periodically when used chronically. May cause diarrhea with resulting not contraindicated), which will decrease hard, dry stools. Teach patient not to chew tablets but
    hypokalemia and hypernatremia to swallow them whole. Encourage patient to time administration of drug so as not to interfere
    with activities or sleep.
    D: Constipation related to ignoring urge to defecate
    E: Determine effectiveness of nonpharmacologic methods for alleviating constipation. Evaluate
    P: Patient will have a normal bowel elimination pattern. Patient will exercise, eat foods high in patient’s use of laxatives in managing constipation. Identify laxative abuse.
    fiber, and have adequate fluid intake to avoid constipation.

    Patient’s Name / Room No. | 2

    You might also like