17.02 Bismuth Subsalicylate (Pepto-Bismol)

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Generic Name

Bismuth subsalicylate

Trade Name

Kaopectate, Pepto-Bismol

Indication

Diarrhea, heartburn, indigestion, H. pylori associated ulcer

Action

Stimulates the absorption of fluids and electrolytes in the intestinal wall, reduction in hypermotility of the stomach, and binds to toxins.

Therapeutic Class

Antidiarrheal, antiulcer, antacid

Pharmacologic Class

Absorbent

Nursing Considerations

• Contraindicated in aspirin hypersensitivity
• Increase risk for impaction with geriatric and pediatric patients
• Monitor liver profile
• Bismuth may interfere with radiologic exams

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