Glycerin Suppository Instruction

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Questions and Answers

Why is it important to ensure a suppository is firm before insertion?

  • To prevent it from dissolving prematurely during insertion.
  • To maximize its effectiveness by ensuring proper dosage.
  • To maintain its structural integrity for ease of insertion past the anal sphincter. (correct)
  • To ensure it can be easily cut in half if needed.

A patient finds that the glycerin suppository is not firm. What is the most appropriate immediate action?

  • Place the suppository in the refrigerator or run it under cool water. (correct)
  • Microwave the suppository for a few seconds.
  • Warm the suppository under hot water to soften it.
  • Use the suppository immediately regardless of its firmness.

A patient reports that the suppository slipped out immediately after insertion. What should the pharmacist advise?

  • To push the suppository further into the rectum, past the anal sphincter. (correct)
  • To discontinue use and consult a doctor immediately.
  • To use a larger amount of lubricant.
  • To use a different brand of suppository.

Why is it recommended to lie down for a few minutes after inserting a suppository?

<p>To prevent leakage and allow the suppository to melt and be absorbed. (D)</p> Signup and view all the answers

What is the correct method for cutting a suppository in half, as advised by the pharmacist?

<p>To cut it lengthwise to maintain consistent drug concentration. (B)</p> Signup and view all the answers

What is the primary reason for using the tapered end of a suppository for insertion?

<p>To minimize discomfort and facilitate smoother entry into the rectum. (D)</p> Signup and view all the answers

Why should suppositories be stored in a cool, dry place?

<p>To maintain their shape and prevent melting. (C)</p> Signup and view all the answers

What is the expected timeframe for a glycerin suppository to produce a bowel movement?

<p>Within 15-30 minutes. (D)</p> Signup and view all the answers

What is the first action a patient should take before self-administering a suppository?

<p>Wash hands thoroughly with soap and water. (D)</p> Signup and view all the answers

What should a patient do if a glycerin suppository does not produce a bowel movement within one hour?

<p>Contact their healthcare provider for further advice. (A)</p> Signup and view all the answers

Besides constipation, what other condition might lead to the use of suppositories? Choose the MOST likely answer.

<p>Treatment of hemorrhoids. (C)</p> Signup and view all the answers

Upon inspection, a patient observes that a glycerin suppository has a slightly oily or greasy texture. What does this indicate?

<p>The suppository has been exposed to excessive heat. (C)</p> Signup and view all the answers

The pharmacist advises the patient to lie on their side during self-administration. What is the primary rationale for this position?

<p>It aligns the rectum for more direct suppository placement. (B)</p> Signup and view all the answers

A patient asks whether dipping the suppository in water is necessary. What is the MOST accurate response?

<p>It can aid insertion by providing lubrication, but it's optional. (B)</p> Signup and view all the answers

The pharmacist emphasizes holding the buttocks together for a few minutes post-insertion. What is the main goal of this action?

<p>To prevent immediate expulsion of the suppository. (A)</p> Signup and view all the answers

When advising a patient on the use of glycerin suppositories, what key information should a pharmacist emphasize regarding their mechanism of action?

<p>They stimulate bowel movement by drawing water into the colon. (A)</p> Signup and view all the answers

If a patient has a latex allergy, what precaution should the pharmacist advise when using suppositories, if any?

<p>Ensure the suppository is latex-free, as some applicators may contain latex. (D)</p> Signup and view all the answers

A patient is also using a topical cream for hemorrhoids. How should the pharmacist advise the patient to sequence the use of the cream and the suppository?

<p>Use the suppository first, then wait at least 30 minutes before applying the cream. (C)</p> Signup and view all the answers

A patient reports experiencing mild rectal burning after using a glycerin suppository. What is the most appropriate initial advice?

<p>This is normal; the sensation should subside quickly. (B)</p> Signup and view all the answers

A patient, who is pregnant, asks if glycerin suppositories are safe to use. What should the pharmacist recommend?

<p>Use only if other methods have failed and after consulting with her doctor. (D)</p> Signup and view all the answers

Flashcards

What are suppositories?

Medication inserted into the rectum to stimulate bowel movement.

First step before use?

Wash hands thoroughly with soap and water.

Checking suppository firmness?

Squeeze to check firmness; refrigerate briefly if too soft.

How to position yourself?

Lie on your side with bottom leg extended and upper leg bent towards your chest.

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Which end goes in?

Insert the suppository into the rectum with the tapered side first.

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Easing insertion?

Dip the tip in cool water for easier insertion.

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Ensuring proper insertion?

Push past the anal sphincter; hold buttocks together for a few minutes.

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How long they take to work?

Five to thirty minutes, but it varies.

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Proper storage?

Store in a cool, dry place.

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Cutting the suppository?

Cut it lengthwise, not widthwise.

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Study Notes

  • Pharmacist provides instructions on how to use glycerin suppositories for constipation

Preparation

  • Wash hands thoroughly with soap and water before starting
  • Ensure the suppository is firm to the touch by squeezing it
  • If the suppository is not firm, put it in the fridge for a few minutes or run it under cold water until firm

Administration

  • Lie on your side with the bottom leg extended and the upper leg bent towards your chest or stomach
  • Dip the tapered end of the suppository in cool water to ease insertion
  • Insert the suppository into the rectum with the tapered side first
  • Push the suppository past the anal sphincter
  • Hold butt cheeks together for a few minutes while staying still to allow melting and absorption

Post-Administration

  • Wash hands with soap and water after inserting the suppository
  • Expect the suppository to work within 5-15 minutes, though glycerin suppositories may take 15-30 minutes
  • If the suppository slips out, it hasn't been pushed past the anal sphincter; reinsert it further
  • Store glycerin suppositories in a cool, dry place away from heat, and keep the container tightly closed

Additional Information

  • If the doctor recommends cutting the suppository, cut it lengthwise
  • If no urge to go to the bathroom occurs after one hour, contact the pharmacy or healthcare provider
  • Hold the suppository in until feeling the urge to go to the bathroom

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