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elimination sheet - Dose/Frequency Classification Use...

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Dose/Frequen cy Classificatio Use Action Adverse Effects Nursing  Implications Patient/Family Teaching
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Methylcellulo se (Citrucel) 2 g/19 g;  500 mg Bulk Laxative Constipatio n When eaten,  methylcellulose is not  absorbed by the intestines  but passes through the  digestive tract undisturbed.  It attracts large amounts of  water into the colon,  producing a softer and  bulkier stool. It is used to  treat constipation,  diverticulosis, hemorrhoids  and irritable bowel  syndrome.  Because it absorbs water  and potentially toxic  materials and increases  viscosity, it can also be  used to treat diarrhea . Allergic reaction,  chest pain, difficulty  swallowing, rectal  bleeding,  abdominal pain,  nausea and  vomiting.   Also,  Each level scoop of sugar- free methylcellulose powder  contains 52 mg of  phenylalanine. Individuals  with phenylketonuria may  need to monitor their intake of  this additive. It should be taken with  sufficient amounts of  fluid to prevent  dehydration Taking  methylcellulose  without enough liquid  may cause it to swell  in the throat and  cause choking If you miss a dose,  take as soon as you  remember.  If it is  near the time of the  next dose, skip the  missed does and  resume your usual  dosing schedule.  Do  not double the dose  to catch up.  
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Psyllium (Metamucil) 1.7 g;  3.4 g;  3.4 g/11 g;  3.4 g/3.7 g;  3.4 g/5.2 g;  3.4 g/7 g;  500 mg Bulk Laxative Constipatio n often used to treat  constipation,  hemorrhoids,  diverticular disease,  and irritable bowel  syndrome. It may also  reduce cholesterol  when taken daily Bloating, gas, or  stomach cramps Patient should be asked if  allergic to any of its ingredients  (e.g., psyllium seed/husk, malt  extract, methylcellulose); or if  you have any other allergies. Should not be given if pt has sudden/unexplained abdominal pain, nausea/vomiting, other symptoms of appendicitis (e.g., very tense abdomen, fever, chills), blockage in the intestines, hole in the intestines (perforation). If pt has diabetes or conditions with high blood approprite product should be chosen since some forms contain sugar or calcium.
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