Some notes on Pharmacy.docx - Treatment of Diarrhea for...

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Treatment of Diarrhea for infants and adults (2016) Diarrhea is a disease that cause by toxins, microorganisms and other substances, which do not usually occur common in the gastrointestinal tract (GIT). These foreign agents and organisms are causing the GIT to react violently, through faster peristalsis, to either eliminate them or purge them. When the substance or organism is too many to eliminate diarrhea will be prolonged and dehydration will be the consequence. Also when a patient has diarrhea regular eating habit will not meet and the body will be deprived from nutrients and energy coming from food. Thus, treatment should be given to avoid dehydration, weakness, vomiting and worst death. First Line Treatment: 1. Oral Rehydration Solution (ORS) – This is the first and foremost supportive treatment when diarrhea occurs. Either infant or adult is the victim ORS must not be abandoned as the first line supportive treatment, because it rehydrates the body with balanced and proper electrolytes, energy and fluids. ORS comes with the combination of sodium, chloride, potassium, and citrate (bicarbonate in some formula) electrolytes for cellular function to continue, including glucose for source of energy and purified water for hydration. Oral Rehydration Solution will be given during the course of the diarrhea. As long as diarrhea is there ORS should also present, unless the patient is brought to hospital where intravenous fluids are given to him/her. Examples of brands of ORS: Pedialyte Mild 30 and other variance and flavor. Glucolyte Other generic ORS Hydrite Gatorade (Note: It is not advisable to use it as rehydration solution alone! It should be still combined with the above ORS products.) 2. Loperamide and other gastrokinetic drugs – Loperamide is used to reduce the movement of the intestines during loss bowel movement. Because of this effect, sometimes Loperamide is not advisable to use, because it impedes the elimination of toxins or microorganisms that causing the diarrhea. It is advisable to use when muscle cramps or spasms occur to pacify the pain in the GI muscles. Hyoscine is also used for spasms or cramps. When vomiting is occurring metoclopramide is given to stop the puking. Hyoscine and metoclopramide must be given with prescription order through oral (at home) or IV in hospital. Sometimes dicycloverine is given but it depends on the doctor’s order. Loperamide can be procured in pharmacy over-the-counter. Ask the pharmacist regarding the use of it. Example of brands: Loperamide – Imodium, Lomotil, Diatabs and so on. Hyoscine (HNBB) – Buscopan Metoclopramide - Plasil 3. Antisecretory agent and Probiotics – Antisecretory agent such as Racecadotril which can prevent the secretion of fluids in the GIT that adds more to the fluidity of the diarrhea. When this drug is administered it will stop the site of production of fluids in the intestines. Probiotics can help to rebalance the normal bacterial flora in the intestines. Microorganisms will absolutely purge also when
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  • Winter '10
  • Ms. Julea Moncera
  • Pharmacology, Human papillomavirus, Wart

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