Pepto Bismol and Kaopectate Flashcards

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Questions and Answers

What are the trade names for bismuth subsalicylate?

  • Kaopectate (correct)
  • Advil
  • Tylenol
  • PeptoBismol (correct)

What is the drug class of Pepto Bismol and Kaopectate?

PHARMA adsorbents, THERA Antidiarrheal, anti-ulcer agent

What is the mechanism of action for bismuth subsalicylate?

Promotes intestinal adsorption of fluids and electrolytes. Decreases synthesis of intestinal prostaglandins.

Which of the following conditions are indications for using Pepto Bismol and Kaopectate? (Select all that apply)

<p>Heartburn (A), Diarrhea (C), Nausea (D)</p> Signup and view all the answers

What are the contraindications for using bismuth subsalicylate?

<p>Hypersensitivity to any component of the product, hypersensitivity to salicylates/aspirin, not recommended for children with or recovering from varicella or flu-like illness, contains salicylate which can cause Reye's Syndrome.</p> Signup and view all the answers

What is the recommended adult dose of Pepto Bismol?

<p>524 mg every 30 min to 1 h as needed to a maximum of 8 doses/24 h for adults and children ≥12 y of age.</p> Signup and view all the answers

What are some common side effects of bismuth subsalicylate?

<p>Constipation, abdominal pain, discoloration of the tongue, grayish black stools, anxiety, confusion, headache, mental depression, slurred speech, muscle spasms, weakness, hearing loss, tinnitus.</p> Signup and view all the answers

What severe side effects can occur with excessive doses of bismuth subsalicylate?

<p>Anaphylaxis, encephalopathy, and neurotoxicity.</p> Signup and view all the answers

What drug interactions should be considered for bismuth subsalicylate?

<p>Tetracycline antibiotics.</p> Signup and view all the answers

What nursing implications are associated with the use of bismuth subsalicylate?

<p>Encourage oral rehydration for mild, uncomplicated diarrhea.</p> Signup and view all the answers

What is the onset time for bismuth subsalicylate?

<p>Within 24 hours.</p> Signup and view all the answers

What is known about the peak time and duration of action for bismuth subsalicylate?

<p>Unknown.</p> Signup and view all the answers

What are the therapeutic effects of Pepto Bismol and Kaopectate?

<p>Relief of diarrhea.</p> Signup and view all the answers

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Study Notes

Pepto Bismol and Kaopectate Overview

  • Trade names include Pepto Bismol and Kaopectate, both formulations of bismuth subsalicylate.

Drug Classification

  • Classified as PHARMA adsorbents and THERA antidiarrheal and anti-ulcer agents.

Mechanism of Action

  • Promotes intestinal absorption of fluids and electrolytes.
  • Reduces intestinal prostaglandin synthesis.

Indications for Use

  • Effective for treating diarrhea, heartburn, and nausea.

Contraindications

  • Not suitable for those with hypersensitivity to the components or salicylates/aspirin.
  • Caution advised for children with varicella or flu-like illnesses due to risk of Reye's Syndrome.

Dosage Information

  • Adult dosage: 524 mg every 30 minutes to 1 hour as needed, with a maximum of 8 doses within 24 hours for those aged 12 and older.
  • Pediatric dosage is not recommended for children recovering from specific viral illnesses.

Common Side Effects

  • May cause constipation, abdominal pain, and tongue discoloration (darkening).
  • Other effects include grayish-black stools, confusion, headache, mental depression, and slurred speech.

Severe Side Effects

  • Potential for serious reactions such as anaphylaxis, encephalopathy, and neurotoxicity at excessive doses.

Drug Interactions

  • May interact with tetracycline antibiotics, affecting their efficacy.

Nursing Implications

  • Emphasize oral rehydration solutions for patients with mild, uncomplicated diarrhea.

Onset, Peak, and Duration

  • Onset of action occurs within 24 hours. Peak and duration of effect are currently unknown.

Therapeutic Effects

  • Provides relief from symptoms associated with diarrhea.

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