West Visayas State University College Of Nursing La Paz, Iloilo

West Visayas State University COLLEGE OF NURSING La Paz, Iloilo City

DRUG STUDY Name: L.L Age: 79 years old

Ward/Bed No.: San Vicenter Ferrer Ward/203 Temporoparietal Area

Name of Drug Generic Name: Lactulose

Brand Name: Cephulac

Classification

Functional: Laxative (hyperosmotic/ ammonia detoxicant)

Chemical: Lactose synthetic derivative

Dosage: 30 cc

Mechanism of Action Increase osmotic pressure; draws fluid into colon; prevents absorption of ammonia in colon; increases water in stool.

Indication

Adverse Reactions

Use cautiously with patient who are debilitated

Contraindication Hypersensitivity, low-galactose diet

Timing: 8

Special Precautions

Nursing Responsibilities

Constipation

Route: OD

Frequency: @ HS

Attending Physician: Dr. T and Dr. S Diagnosis: T/C CVD Bleed VS Infarct Left Front-

Side Effects Nausea, vomiting, anorexia, abdominal cramps, diarrhea, flatulence, distention, belching

Monitor glucose levels in diabetic patients Monitor blood urine, electrolytes if used often with patient; may cause diarrhea, hypokalemia, hypernatremia; check I/O ration to identify fluid loss Assess cramping, rectal bleeding, nausea, vomiting; if these symptoms occur, drug should be discontinued; identify cause of constipation; identify whether bulk, fluid, or exercise is missing in the diet Monitor blood ammonia levels; monitor clearing of confusion, lethargy, restlessness, irritability (hepatic encephalopathy); may decrease ammonia level by 50%.

West Visayas State University COLLEGE OF NURSING La Paz, Iloilo City

DRUG STUDY Name: L.L Age: 79 years old

Ward/Bed No.: San Vicenter Ferrer Ward/203 Temporoparietal Area

Name of Drug Generic Name: Lactulose

Brand Name: Cephulac

Classification

Functional: Laxative (hyperosmotic/ ammonia detoxicant)

Chemical: Lactose synthetic derivative

Dosage: 30 cc

Mechanism of Action Increase osmotic pressure; draws fluid into colon; prevents absorption of ammonia in colon; increases water in stool.

Indication

Adverse Reactions

Use cautiously with patient who are debilitated

Contraindication Hypersensitivity, low-galactose diet

Timing: 8

Special Precautions

Nursing Responsibilities

Constipation

Route: OD

Frequency: @ HS

Attending Physician: Dr. T and Dr. S Diagnosis: T/C CVD Bleed VS Infarct Left Front-

Side Effects Nausea, vomiting, anorexia, abdominal cramps, diarrhea, flatulence, distention, belching

Monitor glucose levels in diabetic patients Monitor blood urine, electrolytes if used often with patient; may cause diarrhea, hypokalemia, hypernatremia; check I/O ration to identify fluid loss Assess cramping, rectal bleeding, nausea, vomiting; if these symptoms occur, drug should be discontinued; identify cause of constipation; identify whether bulk, fluid, or exercise is missing in the diet Monitor blood ammonia levels; monitor clearing of confusion, lethargy, restlessness, irritability (hepatic encephalopathy); may decrease ammonia level by 50%.