DOSAGE AND MECHANISM OF NURSING

DRUG NAME FREQUENCY ACTION INDICATION CONTRAINDICATI SIDE EFFECTS RESPONSIBILITIES

ON
The usual dose is 1 Lactulose is a synthetic For the treatment of It is contraindicated in  Initial dosing A.BEFORE
GENERIC NAME: to 2 tablespoonfuls sugar used in the constipation. In patients who require a may produce ADMINISTRATION
LACTULOSE treatment of constipation flatulence and  Check
(15 to 30 mL, and liver disease. It
patients with a low galactose diet.
intestinal medication
BRAND NAME:
containing 10 g to consists of the history of chronic cramps, which ticket and
LILAC 20 g of Lactulose) monosaccharides constipation, are usually together with
daily. The dose may fructose and galactose. Lactulose solution transient. the patient’s
CLASSIFICATION: be increased to 60 In the colon, lactulose is therapy increases the  Excessive chart and
Laxatives broken down primarily dosage can lead kardex.
mL daily if to lactic acid, and also to
number of bowel
to diarrhea with  Check for any
HOW SUPPLIED
necessary. Twenty- small amounts of formic movements per day potential known allergies
four to 48 hours may and acetic acids, by the and the number of complications to the drug
A.PATIENT’S SUPPLY be required to action of via evolved- days on which such as loss of administered.
1 tbsp- (10 g/15 mL) produce a normal beta galactosidase from bowel movements fluids,  Follow the
colonic bacteria, which hypokalemia, three checks
oral solution bowel movement. results in an increase in
occur. for
and hyper-
osmotic pressure and natremia. administering
B.OTHER FORMS slight acidification of the medications:
 Nausea and
colonic contents. This in vomiting have  1. When it is
 8 fl oz (237 turn causes an increase been reported. taken from
mL) bottle in stool water content the
and softens the stool. In medication
treating hepatic diseases cart.
(hepatic encephalopathy)  2.before
it is thought that withdrawing
lactulose draws out the
ammonia from the body medication,
in the same way that it and
draws out water into the  3. after
colon. withdrawing
the
medication
  Do not
administer
medication
until the
physician or
SOURCE: nurse-midwife
www.druglib.com approves the
drugs used.
www.drugs.com  Do hand
washing

B.DURING
ADMINISTRATION
 Check the
client’s
identification
band.
 Assess client’s
condition and
the form of
medication
 Administer the
medication to
the right
patient/client
 Assist the client
to a
comfortable
position. Thank
her for the
cooperation.
C.AFTER
ADMINISTRATION
 Return
medication
tickets to the
proper cubicle
 Document all
 relevant
information
 Do after care

CLIENT TEACHING

 Take only as
prescribed by
the physician
 Do not exceed
dosages