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  • Lactulose

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    Ninoska Garcia-Ortiz
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    Lactulose is a hyperosmotic laxative prescribed orally to treat portal-systemic encephalopathy and chronic constipation. It works by acidifying colon contents and drawing water into the colon through osmosis, causing a laxative effect. Common side effects include diarrhea. The document underlines that the client is prescribed lactulose specifically to treat portal-systemic encephalopathy. Nurses should educate clients that effects may take 24-48 hours and not to take additional laxatives without consulting their doctor first.

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    lactulose

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    Lactulose is a hyperosmotic laxative prescribed orally to treat portal-systemic encephalopathy and chronic constipation. It works by acidifying colon contents and drawing water into the colon through osmosis, causing a laxative effect. Common side effects include diarrhea. The document underlines that the client is prescribed lactulose specifically to treat portal-systemic encephalopathy. Nurses should educate clients that effects may take 24-48 hours and not to take additional laxatives without consulting their doctor first.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    12K views2 pages

    Lactulose

    Uploaded by

    Ninoska Garcia-Ortiz
    Lactulose is a hyperosmotic laxative prescribed orally to treat portal-systemic encephalopathy and chronic constipation. It works by acidifying colon contents and drawing water into the colon through osmosis, causing a laxative effect. Common side effects include diarrhea. The document underlines that the client is prescribed lactulose specifically to treat portal-systemic encephalopathy. Nurses should educate clients that effects may take 24-48 hours and not to take additional laxatives without consulting their doctor first.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    LACTULOSE

    1. Name & class of drug – generic and trade name.

    GENERIC NAME: Lactulose


    BRAND NAME: Cephulac, Chronulac

    CLASSIFICATION: Gastrointestinal agent, hyperosmotic laxative

    2. Dose range and routes for adult & geriatric client.

    PREPARATIONS: PO

    DOSING: 10mg/15ml solution, syrup

    3. Purpose prescribed. Underline reason your client is prescribed drug.

    THERAPEUTIC EFFECTS: Acidifies colon contents, osmotic effect of organic acids causes laxative action

    USES: prevention and tx of portal-systemic encephalopathy (PSE), including stages of hepatic precoma and coma, and by
    prescription for relief of chronic constipation

    4. Major side effects & drug interactions.

    DRUG INTERACTIONS: laxatives may incorrectly suggest therapeutic action of lactulose

    SIDE EFFECTS: diarrhea


    5. Nursing Implications & teaching.

    • Effects are seen in 24-48 hrs


    • Do not self medicate with another laxative because of slow onset
    • Notify Dr if diarrhea persists for more than 24 hrs, could be a sign of overdose, and need for med adjustment

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