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31 Terms
1
Abnormal passage of stools with increased frequency, fludity, and weight, or with increase stool water excretion. 3 or more loose liquid stools per day.
What is diarrhea?
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2
\-Sudden onset
\-Lasts 3 days to 2 weeks
\-Self-limiting
\-Resoleves without sequelae
acute diarrhea
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3
\-Lasts for more than 3-4weeks
\-Recurring passage of diarrheal stools, fever, loss of appetite, nausea, vomitting, weight loss & chronic weakness.
chronic diarrhea
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4
\-Adsorbents
\-Antimotility drugs (Anticholinergics and opiates)
\-Probiotic (intestinal flora modifiers and bacterial replacement
The classifications of the 3 antidiarrheals?
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5
\-Coat the walls of the GI tract
\-Bind to the causative bacteria or toxin, which is eliminated through the stool. ex: bismuth subsalicylate (Peptic-Bismol) activated charcoal
What do absorbents do?
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6
used with caution in children and adolescents who have or are recovering from chicken pox or influenza because of the risk of Reye’s syndrome.
What must we be cautious with regarding bismuth subsalicylate?
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7
Warfarin sodium, aspirin, or other non steroidal anti-inflammatory drugs.
What medication does bismuth subsalicylate interact with?
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8
\-Decreases bowel motility
\-Decrease transmit time through the bowel, allowing more time for water and electrolytes to be absorbed.
What do antimotility drugs do?
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9
\-**Opiates**: decrease bowel motility and reduces pain.
\-**Anticholinergic**: decrease muscle tone and peristalsis, have a drying effect, reduce gastric secretion
What are the two drug classifications in antimotility drugs?
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10
headache, pruritus, heart failure, xerostomia, diabetes mellitus, and osteoporosis.
What are adverse effects of anticholinergic drugs?
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11
Reduces pain associated with diarrhea by relief of rectal spasms.
Why are opiates used for antidiarrheal?
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12
\-Loperamide (Imodium)
\-Lomotil (diphenoxylate/atropine)
What's an example of an antimotility drug (know the 2).
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13
there isn't enough in it to get addicted. If abused they will experience urine retention, dry mouth, and dry eyes.
Why doesn't a patient get addicted to the opiates within these drugs? What happens if they try to abuse them?
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14
suppress the growth of diarrhea & Re-establish the normal flora.
What are probiotics used for?
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15
Lactobacillus
What is the most common probiotic organism?
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16
Used to treat constipations, moving bowels regularly, and soften stool
What are laxatives used for?
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17
Bulk forming
Emollient
Hyperosmotic
Saline
Stimulant
the five types of laxatives?
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18
acute and chronic constipation, irritable bowel syndrome and diverticulosis
What are bulk-forming laxatives used for?
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19
240 mls of water or package directions to avoid a esophageal obstruction or blockage
What MUST bulk-forming laxatives be taken with and why?
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