Age: 70 yrs. old Ward/Bed Number: ICU Bed no.5 Impression/ Diagnosis: _____________
Name of Drug Dosage, Mech. of Action Indication Adverse Special Nursing
Route, Reactions Precautions Responsibilities Freq., Timing Generic: Dosage: Lactulose Treatment of *Diarrhea Patients with *Check the physicians Lactulose 30ml promotes constipation *Severe lactose order. peristalsis by diarrhea which intolerance, *Follow the 10 rights Brand: producing an may lead to diabetes of medications. Lilac osmotic effect in hypovolemia, mellitus, gastro- *Monitor blood the colon with hypokalemia, cardiac pressure, serum Route: resultant and syndrome electrolyes, fluid status Oral distention. hypernatremia. (roembheld and bowel movement *Pneumatosis syndrome) patterns. cystoides *Advice patient to intestinalis drink sufficient amount of fluids (6-8 glasses daily). Frequency: *Assess for history of Classification: HS Contraindications: Side Effects: allergy to lactulose. Functional: Galactosaemia, Nausea, *Ask patient to report Laxative gastrointestinal Vomiting, diarrhea, severe obstruction or flatulence, pain belching, abdominal subocclusive or distension, fullness. Timing: syndromes, acute Dehydration, *Monitor patient or ask Pharmacological 8pm inflammatory abdominal her if she already has : bowel disease cramps defecated in order for Colonic acidifier (e.g. ulcerative her diaper to be colitis, Crohn’s changed. disease), *Clean patient and digestive replace diaper once perforation or risk defecated. Dispose of digestive diaper properly. perforation, painful abdominal syndromes of unknown cause, low galactose diet.