RT Book, Section
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
SR Print(0)
ID 1154961019
T1 Diarrhea, Constipation, and Irritable Bowel Syndrome
T2 Pharmacotherapy: A Pathophysiologic Approach, 10e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259587481
LK accesspharmacy.mhmedical.com/content.aspx?aid=1154961019
RD 2024/04/19
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