17.03 Lactulose (Generlac)

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Generic Name

lactulose

Trade Name

Kristalose

Indication

Constipation, portal-systemic encephalopathy

Action

draws water into the stool and softens stool, inhibits ammonia passing into the colon

Therapeutic Class

laxative

Pharmacologic Class

osmotic

Nursing Considerations

• use caution with DM
• may cause cramps, abdominal distention, hyperglycemia
• assess mental status, ammonia levels, abdominal distention
• patient should average 2-3 bowel movements per day

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