What are the key patient teaching points that are specific to cholestyramine?
Advise patient about the likelihood of GI problems including nausea, constipation, abdominal pain, flatulence, oily/foul smelling stools, hemorrhoids, and fecal impaction. Instruct patient to report severe or prolonged GI problems.
What are the side effects to cholestyramine?
Cholestyramine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- constipation.
- bloating.
- stomach pain.
- gas.
- upset stomach.
- vomiting.
- diarrhea.
- loss of appetite.
What is the indication for cholestyramine?
1) QUESTRAN (Cholestyramine for Oral Suspension USP), is indicated as adjunctive therapy to diet for the reduction of elevated serum cholesterol in patients with primary hypercholesterolemia (elevated low density lipoprotein [LDL] cholesterol) who do not respond adequately to diet.
What are nursing implications for atorvastatin?
atorvastatin can increase liver enzyme levels. They must be used with caution in people with impaired renal function. atorvastatin may cause myopathy, liver or renal impairment, and high blood glucose levels, and therefore should be prescribed with caution in patients included in the listed risk groups.
Should cholestyramine be taken with food?
Cholestyramine works best if you take it with meals. However, your dosing schedule may depend on when you need to take any other medications. Cholestyramine should not be taken within 1 hour after or 4 hours before you take other medications. Use cholestyramine regularly to get the most benefit.
What medications should not be taken with cholestyramine?
According to OBRA, cholestyramine may reduce the absorption of certain other concurrent medications, such as diuretics, beta-blockers, corticosteroids, thyroid hormones, digoxin, valproic acid, NSAIDs, sulfonylureas, and warfarin; therefore, these medications should be administered 1 hour before or 4 hours after …
How does cholestyramine help diarrhea?
Cholestyramine is primarily a cholesterol medication that helps those with high LDL levels lower the amount of bad cholesterol in their blood. It also helps to remove excess bile acid from the intestines, which relieves the symptoms of diarrhea associated with BAD.
What should I monitor with cholestyramine?
Monitor Closely (1)cholestyramine will decrease the level or effect of cholic acid by drug binding in GI tract. Use Caution/Monitor. Take cholic acid at least 1 hr before or 4-6 hr (or as great an interval as possible) after a bile acid binding resin.
What is the action of cholestyramine?
This medication is known as a bile acid-binding resin. It works by removing bile acid from the body. In people with high cholesterol, this causes the liver to make more bile acid by using cholesterol in the blood. This helps to lower the cholesterol levels.
What are the nursing implications for lisinopril?
Possible Lisinopril Nursing Diagnoses
- Risk for Impaired Renal Perfusion related to the mechanism of action of lisinopril.
- Risk for Electrolyte Imbalance (Hyperkalemia) related to the possible side effect of lisinopril.
- Nausea related to the side effect of lisinopril.
- Deficient Knowledge related to a new drug prescription.
What drugs interact with cholestyramine?
Is cholestyramine safe in pregnancy?
Cholestyramine is not absorbed systemically and is therefore not expected to cause fetal harm during pregnancy. However, cholestyramine is known to interfere with the absorption of fat-soluble vitamins in pregnancy, which may lead to deficiencies even with supplementation.
How does cholestyramine stop diarrhea?
What is the most common side effect of bile acid sequestrants?
Some of the most common adverse effects are gastrointestinal, including constipation, stomach pain, bloating, vomiting, heartburn, loss of appetite, indigestion, and upset stomach. Constipation is experienced by 10% of patients taking colestipol and 28% in those taking cholestyramine.
Do you have to take cholestyramine with food?
Why does cholestyramine cause constipation?
Constipation is a very common side effect of cholestyramine (Prevalite) because of the way the medication works. Normally, bile acids in the intestine help control how much water is in your stool. By binding to extra bile acid in the intestines, this medication may remove some water in your stool, causing constipation.
What is the antidote for cholestyramine?
The protection given by cholestyramine against both hepato- and nephrotoxicity during paracetamol poisoning is of special interest since the antidotes in clinical use, namely N-acetylcysteine and methionine, only pro- vide protection against liver injury but not against kidney damage [8].
What are the side effects of cholestyramine?
Cholestyramine side effects. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: ongoing or worsening constipation; severe stomach pain; blood in your urine;
What are the uses of cholestyramine?
Cholestyramine is used to lower high levels of cholesterol in the blood, especially low-density lipoprotein (LDL) (“bad” cholesterol). Cholestyramine powder is also used to treat itching caused by a blockage in the bile ducts of the gallbladder. Cholestyramine may also be used for purposes not listed in this medication guide.
Does cholestyramine interact with other medications or foods?
Other drugs may interact with cholestyramine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
What nursing diagnosis can be formulated for cholesterol absorption inhibitors?
Here are some of the nursing diagnoses that can be formulated in the use of this drug for therapy: These are vital nursing interventions done in patients who are taking cholesterol absorption inhibitors: Monitor serum cholesterol and LDL levels. To determine the effectiveness of drug therapy. Monitor results of liver functions tests.