12 Questions
What is the primary goal when treating constipation in chronically ill, terminally ill, and elderly patients?
To provide symptom relief
Which class of laxatives are described as having limited effectiveness in the text?
Stimulant laxatives
What is the recommended approach for starting pharmacotherapeutic management of constipation?
Start with the lowest possible dose of a well-tolerated medication
What is the purpose of monitoring the patient during pharmacotherapeutic management of constipation?
To ensure the medication is working as expected and to look for adverse effects
What is the recommended approach if one class of medication is ineffective after an adequate trial?
Stop the medication and try an alternative
What is the primary purpose of using high doses of PEG according to the text?
To cleanse the bowel in preparation for a procedure
What is the primary mechanism of action of the agents mentioned in the text that increase secretion and peristalsis from the colon?
They inhibit the absorption of water and electrolytes in the colon, leading to increased water content in the stool.
What is the primary goal of 'step one and two therapies' for treating constipation?
To soften stools and prevent water absorption, making them easier to pass.
The text mentions that dietary fiber supplements, such as ispaghula husk and sterculia, can have a positive effect on constipation. However, what is one potential downside of these treatments?
They can exacerbate symptoms of bloating and flatulence.
Which of the following patients may be more suitable for high-dose macrogols or invasive treatments like colectomy?
Patients with slow transit constipation who have not responded well to pharmacological therapy.
The text discusses the importance of an individualized approach to treating constipation. Which of the following factors does it suggest should be considered when selecting the appropriate treatment?
The patient's age, symptoms, severity of constipation, and treatment response.
What is the recommended first-line approach for most patients with constipation, especially those with mild symptoms?
Dietary and lifestyle changes, such as increasing fiber intake.
Test your knowledge on pharmacotherapeutic management principles including starting with low doses, setting treatment goals, patient education, and monitoring. Learn about the importance of informing patients about medication effectiveness and potential dose adjustments for functional constipation.
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