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Drug Study: West Visayas State University

This drug study provides information on lactulose. Lactulose is given orally twice daily to prevent and treat constipation and hepatic encephalopathy. It works by acidifying fecal contents through breaking down into lactic acid and small amounts of other acids. Common adverse reactions include abdominal cramps, distention, hyperglycemia, hypernatremia, hypokalemia, and hypovolemia. The nurse's responsibilities are to inform the patient about adverse reactions and ensure they notify the prescriber if issues arise, instruct them not to take other laxatives, and increase fluid intake with frequent bowel movements.
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0% found this document useful (0 votes)
107 views2 pages

Drug Study: West Visayas State University

This drug study provides information on lactulose. Lactulose is given orally twice daily to prevent and treat constipation and hepatic encephalopathy. It works by acidifying fecal contents through breaking down into lactic acid and small amounts of other acids. Common adverse reactions include abdominal cramps, distention, hyperglycemia, hypernatremia, hypokalemia, and hypovolemia. The nurse's responsibilities are to inform the patient about adverse reactions and ensure they notify the prescriber if issues arise, instruct them not to take other laxatives, and increase fluid intake with frequent bowel movements.
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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West Visayas State University

COLLEGE OF NURSING
Luna St., La Paz, Iloilo City 5000
Iloilo, Philippines
* Trunkline: (063) (033) 320-0870 to 78 loc. 1313 * Telefax No.: (033) 320-0879
* Website: www.wvsu.edu.ph * Email Address: con@wvsu.edu.ph

DRUG STUDY
Name of Patient:_________________ Attending Physician:________________
Age:____________ Ward/Bed Number:________________ Impression/ Diagnosis:______________

Dosage, Route,
Name of Drug Frequency and Mechanism of Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing Action
Generic: Dosage: 30 cc Breaks down into To prevent and treat GI: Abdominal cramps Use cautiously to • Inform patient about
lactic acid and small constipation, hepatic and distention adverse reactions and tell
amounts of formic and
patient with diabetes
lactulose encephalopathy ENDO: Hyperglycemia them to notify prescriber if
acetic acids, acidifying mellitus
Other: Hypernatremia, reactions become bothersome
Route: PO fecal contents. hypokalemia, or if diarrhea occurs.
Acidification leads to Replace fluid loss
Brand: hypovolemia
increased osmotic
pressure in the colon, • Instruct patient not to take
which, in turn, other laxatives during
Frequency: BID increases stool water lactulose therapy
content and softens
stool.

Classification Contraindications Side Effects


Timing: 8 8 Contraindicated in Flatulence, gaseous •Inform patient that bowel
Functional: patients on a low distention, nausea, movement may not occur for
Laxatives 24 to 48 hours after taking
galactose diet vomiting drug.

Chemical:
•Instruct patient to increase
Synthetic fluid intake if frequent bowel
disaccharide movements occur.
sugar

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