TY - CHAP M1 - Book, Section TI - Diarrhea, Constipation, and Irritable Bowel Syndrome A1 - Fabel, Patricia H. A1 - Shealy, Kayce M. A2 - DiPiro, Joseph T. A2 - Talbert, Robert L. A2 - Yee, Gary C. A2 - Matzke, Gary R. A2 - Wells, Barbara G. A2 - Posey, L. Michael PY - 2017 T2 - Pharmacotherapy: A Pathophysiologic Approach, 10e AB - Patient Care Process for DiarrheaCollectPatient characteristicsPatient medical, family, social history and dietary habitsCurrent medications, including nonprescriptionVital signs and weightLaboratory tests depending upon medical history and other presenting symptomsThyroid function tests, complete blood count, glucose, serum electrolytesAssessUnderlying causes of diarrhea (see Table 36-2)Severity and duration of symptomsPatient preference for symptom resolutionAbility/willingness to pay for treatment optionsPlanTreat specific cause of diarrhea (i.e. diabetes, infectious, etc.)Increase fluid intake using oral rehydration solutions (Table 36-3)Antidiarrheal medication (Table 36-4)Monitor symptom resolution for efficacy, and pronounced constipation for safetyPatient education regarding importance of prevention dehydrationReferral to other providers when appropriateImplementEducate the patient on all aspects of the treatment planSchedule follow-up to monitor safety and efficacy of treatment planFollow-up: Monitor and EvaluateDetermine resolution of diarrhea and related symptomsEvaluate for signs and symptoms of dehydrationAssess for presence of adverse effects (e.g., abdominal pain, constipation)Assess patient adherence to treatment planRe-evaluate periodically until resolution SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1154961019 ER -