A client takes Metamucil (psyllium) granules one rounded teaspoon mixed in fruit juice three times daily for constipation. Which of the following statements by the client indicates that further teaching is required?
1.“I will mix this medication with at least 8 oz of water or juice immediately before taking it.”
2.“I will check for soft to semiliquid stools being passed within 1 to 3 days of taking this medication.”
3.“I will drink at least 6 to 10 glasses of water or juice when taking thislaxative.”
4. “I will need to take the medication for 4 weeks.”
Metamucil (psyllium) is a bulk-forming laxative, used to treat constipation. It absorbs liquid in the intestines, swells, and forms a bulky stool, which is easy to pass. It comes as a powder, granules, capsule, liquid, and wafer to take by mouth. It is usually taken one to three times daily. It should not be taken for more than 1 week unless advised.
Client cannot continue this drug for 4 weeks. Regular use may prevent normal bowel function, cause adverse drug reactions, and delay treatment for conditions that cause constipation. The powder or granules must be mixed with 8 oz of pleasant-tasting liquid such as fruit juice right before use.
Therapeutic effects (soft to semiliquid stools) occur in approximately 1 to 3 days with bulk-forming laxatives like Metamucil and stool softeners while effects (liquid to semiliquid stools) occur in 1 to 3 hours with saline cathartics and castor oil. These granules absorb water rapidly in the intestines and solidify into a gelatinous mass, and so, the client should drink 6 to 10 glasses of water or juice daily.
CN: Pharmacological and parenteral therapies; CL: Apply.