Page 104 - COMMUNITY PHARMACY PRACTICE

02/04/2024

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Saline and osmotic ……cont

Adverse effects & Imp Patient
contraindications couseling

• products containing • All With 1 cup of water to
magnesium prevent possible
dehydration.
• Not in severe kidney
impairment) • Glycerin supp:
• Patients with constipation in BABIES.
hypertension or CHF
shouldn't receive • premoistened with water
saline laxatives to make insertion more
(sodium on a comfortable (less irritant)
prolonged basis -fluid
retention from sodium • Lactulose should be
absorption). taken with fruit juice, water
• PEG 3350 not <17yrs or milk to increase its
palatability
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My friend suggests me enemas as a rapid
treatment for constipation, what do they
contain? What are their advantages?

• local products that are installed into the
rectum with the use of an enema syringe.

• Advantage: the medication is directly
applied where it is needed minimizing
systemic toxicity.

• Onset of action : 2-15 minutes.

• saline laxative as sodium phosphate,
warm water, Epsom salt or sorbitol.

• The large volume of water stimulates
(peristalsis).

• the patient should retain the solution for
five to ten minutes, if possible.

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