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Nursing Implications (What to focus on) Nursing assessment (pre-administration) obtain history
Contraindications/warnings/ interactions of bowel patterns before therapy; for constipation,
Drug-drug: mineral oil; contraindicated in pts determine if pt has adequate fluid intake, exercise, and diet;
hypersensitive to drug or components, those with give liquid in milk or fruit juice to mask bitter taste.
intestinal obstruction, undiagnosed abdominal pain, Assessment (why would you hold this med?)
signs of appendicitis, fecal impaction, or acute If abdominal cramping occurs, stop drug and notify
surgical abdomen prescriber.
Evaluation (post-administration) Be alert for adverse
reactions, drug interactions, monitor bowel pattern, assess
pt and family knowledge of drug therapy
What would you teach the patient about this medication? Teach pt about dietary sources of
bulk, which include bran and other cereals, fresh fruit, and other vegetables; instruct pt to use
only occasionally and not for longer than 1 week without prescriber’s knowledge; tell pt to stop
taking drug and to notify prescriber if severe cramping occurs.
TJ2010