Lactulose Drug Card PDF

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Summary

Need to know information on Lactulose...

Description

DRUG CARD

Student Name:Lionel Tabong.

Therapeutic class of drug: Laxatives

Pharmacologic class of drug: Osmotics.

MEDICATION (GENERIC name): Lactulose.

(BRAND name): Cholac, Constilac, Enulose

MECHANISM OF ACTION: Relief constipation & decreases blood ammonia levels INDICATIONS: Chronic constipation, Ammonia toxicity, Hepatic encephalopathy CONTRAINDICATIONS: Low galactose diets PERTINENT LABS TO MONITOR: Ammonia, glucose, K, Na. ROUTES: PO

RECOMMENDED DOSAGE RANGE: 15-30 max 60mL/day as liquid/ 10-20 max 40g/day suspension (Adults),

7.5mL/day (kids). Common side-effects  

Life-threatening side effects

Belching, cramps, abdominal distention, flatulence Diarrhea, hyperglycemia

Nursing Implications/Patient and family teaching:  Take w/ juice, full glass water, milk citrus beverage to improve flavor  Encourage to use other bowel regulations – increase diet fiber, fluid intake & mobility  Notify MD if diarrhea occurs or persist.

What focused assessment should be performed prior to administration to ensure the medication is safe to give? LOC, Skin tugor, BM/sounds WHY? Risk for diarrhea & dehydration

Interactions:  Don’t use w/ other laxatives  Anti-infectives may decrease effectiveness in hepatic encephalopathy Tx

Antidote/Reversal agents:

For IV fluids & IVP or IVPB medications, fill out the sections below: IV flow rate (e.g. ml/hr)

Rate of administration (minutes)

IV site (Y-site) compatibility Onset 24-48hr

Dilution (typically only needed for IVP)...