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LACTULOSE

Saline osmotic -increases H2O in stool, softening it -decrease ammonia by increasing pH intestine inhibiting diffusion

CHOLESTRAMINE (QUESTRAN)
Antilipidemic -binds bile salts -lowers LDL - give before meals

LOVOSTATIN (MEVACOR)
Antilipidemic -inhibits cholesterol synthesis in intestine -lowers LDL Sl. Increase HDL - give w/ food

VASSOPRESSIN (PITRESSIN)
Hemostatic -increases water reabsorption renal tubules aiding water balance body -peripheral vasoconstriction, stimulates GI tract -give w/ 1-2 glasses H2O

VIOKASE (PRANCREATIN)
Pancreatic enzyme -aids digestion carbs, fats, proteins, accomplished by pancreatic enzymes -converts fatsglycerol & fatty acids, starchesdextrose & sugars -give before/with meals -diarrhea, greasy stools

-diarrhea -raise blood glucose levels

-assess LOC -I/O -dehydration -do not give diabetics

-increased triglycerides -fat soluble vit deficiency (A,D,E,K) steatorrhea -may increase PTT -liver enzymes -cholesterol & triglycerides -severity puritis -constipation

-headach, GI upset

-MI

-liver enzymes -cholesterol & tryglycerides -annual eye exam -avoid grapefruit juice

-BP, HR, ECG -urine sp. Gr, e-lytes

-monitor for steatorrhea -assess allergy pork

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