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Lactulose (Generlac) Nursing Considerations

Lactulose (Generlac) Nursing Considerations

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Outline

Generic Name

lactulose

Trade Name

Kristalose

Indication

Constipation, portal-systemic encephalopathy

Action

draws water into the stool and softens stool, inhibits ammonia passing into the colon

Therapeutic Class

laxative

Pharmacologic Class

osmotic

Nursing Considerations

• use caution with DM
• may cause cramps, abdominal distention, hyperglycemia
• assess mental status, ammonia levels, abdominal distention
• patient should average 2-3 bowel movements per day

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Transcript

Okay, let’s take a look at, OSes also known as generic lack or Criollos. This is an oral medication, as you can see here by the lactose solution packaging,

The therapeutic class of lactose is a laxative, which is how it works in the body. And the pharmacologic class is an osmotic, which is the chemical effect of the drug lactulose works because it draws water into the stool and softens the stool, which is wide it is used for. And it also inhibits ammonia passing into the colon, which is why it is used to treat portal systemic encephalopathy. So remember lactulose works by drawing water. So with this, the patient can experience abdominal cramps, abdominal distension, and all also hyperglycemia. Let’s take a look at a few nursing considerations for Lalo. Remember lactulose can cause hyperglycemia. So use caution in patients with diabetes while on lactulose, assess your patients, mental status, their amonia levels, and also their abdominal distension teach the patient that while on LEOSE they should be averaging two to three bowel movements per day. Also guys, make sure you teach your patient that because lactoses is a nondigestible sugar, they should make sure they’re paying special attention to their teeth. Maintaining good dental hygiene. That’s it for OSes or crystals or Lac now go out and be your best self today. And as always happy nursing.

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Pharmacololgy/Dosage Calc

Concepts Covered:

Study Plan Lessons

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Magnesium Sulfate

Histamine 1 Receptor Blockers

Histamine 2 Receptor Blockers

Histamine 2 Receptor Blockers

HMG-CoA Reductase Inhibitors (Statins)

Corticosteroids

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Benzodiazepines

Calcium Channel Blockers

Parasympathomimetics (Cholinergics) Nursing Considerations

Cardiac Glycosides

Autonomic Nervous System (ANS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

ACE (angiotensin-converting enzyme) Inhibitors

Angiotensin Receptor Blockers

Atypical Antipsychotics

Injectable Medications

IV Infusions (Solutions)

Complex Calculations (Dosage Calculations/Med Math)

Renin Angiotensin Aldosterone System

Basics of Calculations

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Oral Medications

The SOCK Method – S

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

Essential NCLEX Meds by Class

6 Rights of Medication Administration

The SOCK Method – Overview

12 Points to Answering Pharmacology Questions

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ACLS (Advanced cardiac life support) Drugs

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The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

The SOCK Method – S

Complex Calculations (Dosage Calculations/Med Math)

IV Infusions (Solutions)

Injectable Medications

Oral Medications

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Basics of Calculations

Pharmacokinetics

Pharmacodynamics

NG Tube Medication Administration

Disease Specific Medications

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Parasympatholytics (Anticholinergics) Nursing Considerations

Nitro Compounds

Magnesium Sulfate

HMG-CoA Reductase Inhibitors (Statins)

Histamine 2 Receptor Blockers

Histamine 1 Receptor Blockers

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Corticosteroids

Cardiac Glycosides

Calcium Channel Blockers

Benzodiazepines

Autonomic Nervous System (ANS)

Atypical Antipsychotics

Angiotensin Receptor Blockers

ACE (angiotensin-converting enzyme) Inhibitors

Renin Angiotensin Aldosterone System

6 Rights of Medication Administration

Essential NCLEX Meds by Class

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

54 Common Medication Prefixes and Suffixes

12 Points to Answering Pharmacology Questions

Pharmacology Course Introduction