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West Visayas State University COLLEGE of NURSING La Paz, Iloilo

West Visayas State University COLLEGE of NURSING La Paz, Iloilo

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Published by pircano
emergency drugs LEAD
emergency drugs LEAD

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Published by: pircano on Oct 02, 2009
Copyright:Attribution Non-commercial


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West Visayas State UniversityCOLLEGE OF NURSINGLa Paz, Iloilo City
Name: L.L Ward/Bed No.: San Vicenter Ferrer Ward/203 Attending Physician: Dr. T and Dr. SAge: 79 years old Diagnosis: T/C CVD Bleed VS Infarct Left Front- Temporoparietal Area
Name of DrugMechanism oActionIndicationAdverse ReactionsSpecialPrecautionsNursing Responsibilities
Generic Name:LactuloseBrand Name:CephulacDosage:30 ccRoute:ODFrequency: @ HS Timing:8Increase osmoticpressure; draws fluidinto colon; preventsabsorption of ammonia in colon;increases water instool.ConstipationUse cautiously withpatient who aredebilitatedMonitor glucose levels indiabetic patientsMonitor blood urine,electrolytes if used often withpatient; may cause diarrhea,hypokalemia, hypernatremia;check I/O ration to identifyfluid lossAssess cramping, rectalbleeding, nausea, vomiting; if these symptoms occur, drugshould be discontinued;identify cause of constipation;identify whether bulk, fluid, orexercise is missing in the dietMonitor blood ammonialevels; monitor clearing of confusion, lethargy,restlessness, irritability(hepatic encephalopathy);may decrease ammonia levelby 50%.
ClassificationContraindicationSide Effects
Functional:Laxative(hyperosmotic/ammonia detoxicant)Chemical:Lactose syntheticderivativeHypersensitivity,low-galactose dietNausea, vomiting,anorexia, abdominalcramps, diarrhea,flatulence, distention,belching

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