Term
What are the 4 uses of laxatives? |
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Definition
1.Soften stool 2.Increase stool volume 3.Speed up the stool passage through the intestine 4.Facilitate evacuation from rectum |
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Term
What is the difference between a laxative effect and catharsis? |
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Definition
A laxative effect refers to the production of a soft, formed stool over a period of 1 or more days. Catharsis refers to prompt, fluid evacuation of the bowel. |
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Term
What is the principle function of the colon? |
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Definition
To absorb water and electrolytes |
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Term
20-60gms of this substance a day optimizes intestinal function. |
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Definition
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Term
What is the principle cause of constipation? |
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Definition
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Term
What do all of the following have in common in regards to laxatives? Abdominal pain, nausea, cramps, appendicitis, diverticulitis, colitis, patients with acute surgical abdomen, fecal impaction or bowel obstruction, and habitual use. |
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Definition
These are all Contraindications to laxative use. |
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Term
What is your DOC when you need a bulk-forming laxative? |
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Definition
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Term
What is your preferred agent for temporary treatment of constipation? |
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Definition
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Term
What is your preferred laxative for diverticulosis and IBS? |
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Definition
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Term
Which type of laxative is used to increase the amount of water in the stool? |
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Definition
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Term
Name 3 of the bulk-forming preparations. |
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Definition
1.Psyllium 2.Methylcellulose 3.Polycarbophil |
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Term
Name 2 of the Surfactant preparations. |
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Definition
1.Docusate sodium 2.Docusate calcium |
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Term
Which kind of laxative is most widely used and abused? |
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Definition
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Term
What is the DOC when you need a rapid and thorough evacuation of the bowel (like in preparation for radiologic procedures)? |
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Definition
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Term
Name 3 stimulant laxative preparations. |
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Definition
1.Bisacodyl 2.Senna 3.Cascara sagadra |
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Term
Which type of stimulant laxative can be administered rectally as well as by mouth? |
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Definition
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Term
Which stimulant laxative may result in a harmless yellow-brown or pink color to the urine? |
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Definition
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Term
What is the only stimulant laxative that acts on the small intestine? |
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Definition
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Term
Name 2 bulk forming laxatives and their site of action |
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Definition
1. Psyllium 2. Methylcellulose (SI & LI) |
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Term
Name 2 surfactant laxatives and their site of action. |
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Definition
1. Docusate sodium 2. Docusate calcium (SI & LI) |
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Term
Name 3 Stimulant laxatives and their sit of action. |
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Definition
1. Bisacodyl (colon) 2. Senna 3. Castor oil (SI) |
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Term
Which 2 types of laxatives are good to use before evacuation before diagnostic and surgical procedures? |
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Definition
Stimulant and Osmotic (in high doses) |
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Term
Which type of laxative in high doses will purge the bowel of poisons and evacuate dead parasites? |
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Definition
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Term
Name 3 types of Osmotic laxatives and their site of action. |
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Definition
1.Magnesium hydroxide 2. Magnesium citrate 3. Polyethylene gylcol (all act on SI & LI) |
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Term
Which laxative produces a laxative effect by lubrication and can only be administered rectally? |
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Definition
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Term
Which laxative is used in patients with hepatic encephalopathy to excrete ammonia? |
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Definition
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Term
Name 4 misc. laxatives and their site of action. |
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Definition
1. Mineral oil (colon) 2. Glycerin supp. (colon) 3. Lactulose (colon) 4. Polyethlene (SI & LI) |
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Term
What is the MOA for Methylcellulose and Psyllium? |
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Definition
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Term
What is the MOA of Docusate sodium and Docusate calcium? |
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Definition
Increased water in stool & secretion of water and electolytes into intestine. |
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Term
How is the MOA of mineral oil and glycerin suppository different from all other laxatives? |
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Definition
They both lubricate as well as stimulate peristalsis |
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