DRUG INDICATION ACTION SIDE EFFECTS NURSING CONSIDERATIONS

PATIENT TEACHINGS

Date Ordered:1/7/12Generic Name:Lactulose

Brand Name:Duphalac

Dosage:30cc

Frequency:OD, HS

Route:PO

Classification:Laxative

For Constipation.

The drug passes unchanged into the colon where bacteria break it down to organic acids that increase the osmotic pressure in colon and slightly acidify the colonic contents, resulting in an increase in stool water contents, stool softening, laxative action.

Flatulence Abdominal Fullness Belching Diarrhea Nausea Intestinal Cramps

Assess History of allergy to lactulose, or low-galactose diet.

Assess abdominal bowel sounds.

serum electrolytes, serum ammonia levels

Effects are seen 24 to 48 hours.

Notify Dr if diarrhea persists for more than 24 hrs, could be a sign of overdose, and need for med adjustment