Important Points For Ostomy Patients

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Important Points For the Ostomy Patient

By

Danny Babin of CVS Pharmacy

  • Determine what type of Ostomy the patient has. Drugs will affect each type of ostomate differently and what may be beneficial for one patient may be detrimental to others.

 

  • An ileostomy patient should not have diarrhea for over 24 hours without seeing a physician. Fluid and electrolyte depletion may occur very rapidly.

 

  • Be careful to check all oral dosage preparations for sustained release or enteric coating. Liquid or chewable preparations are absorbed better than tablets. If you question the absorption of a drug the patient is taking or whenever a new medication is started, ask if he finds the whole tablet or a partially dissolved tablet in his appliance.

 

  • Monitor for drugs that may slow the gastrointestinal motility and cause constipation. These drugs include the narcotic analgesics, drugs with anticholinergic side effects and aluminum hydroxide gel.

 

  • Monitor for drugs that may increase gastrointestinal motility and cause diarrhea. All oral antibiotics may alter the normal gastrointestinal flora and cause diarrhea. lleostomy patients should never take a laxative, enema, or have a rectal temperature taken.

  • Urostomy patients should be warned about the increase in urine output.

 Discoloration of Feces Due To Drugs

Black

Methotrexate

Light Brown

Acetazolamide

Methylene blue

Anticoagulants

Alcohols

Oxyphenbutazone

Orange-Red

Alkalies

Paraldehyde

Phenazopyridine

Aluminum Hydroxide

Phenaacetin

Rifampin

Aminophylline

Phenolphthalein

Pink

Aminosalicylic Acid

Phenylbutazone

Anticoagulants

Amphetamine

Phenylephrine

Aspirin

Amphotericin

Phosphorous

Heparin

Antacids

Postassium salts

Oxyphenbutazone

Anticoagulants

Prednisolone

Phenylbutazone

Aspirin

Procarbazine

Salicylates

Betamethasone

Pyrvinium

Red

Bismuth

Reserpine

Anticoagulants

Charcoal

Salicylates

Aspirin

Chloramphenicol

Sulfonamides

Heparin

Chlorpropamide

Tetracycline

Oxyphenbutazone

Clindamycin

Theophylline

Phenylbutazone

Cortisone

Thiotepa

Phenolphthaein

Cyclophosphamide

Triamcinolone

Pyrivinium

Cytarabine

Warfarin

Salicylates

Dicumarol

 

Tetracycline Syrup

Digitalis

Blue

Red-Brown

Ethacrynic Acid

Chloramphenicol

Oxyphenbutazone

Ferrous Salts

Methylene blue

Phenylbutazone

Floxuridine

 

Rifampin

Fluorides

Dark Brown

Tarry

Fluorouracil

Dexamethasone

Ergot preparations

Halothane

 

Ibuprofen

Heparin

Gray

Salicylates

Hydralazine

Colchicine

Warfarin

Hydrocortisone

 

White/Speckling

Ibuprofen

Green

Aluminum hydroxide

Indomethacin

Indomethacin

Antibiotics (oral)

Iodine drugs

Iron

Indocyanine green

Iron Salts

Medroxyprogesterone

Yellow

Levarterenol

 

Senna

Levodopa

Greenish Gray

Yellow-Green

Manganese

Oral Antibiotics

Senna

Melphalan

Oxyphenbutazone

 

Methylprednisolone

Phenylbutzone

 

 

 

 

 


Discoloration of Urine Due to Drugs

 

Black

Quine

Green-Yellow

Cascara

Rifabutin

DeWitts pills

Cotrimoxazole

Rifampin

Methylene blue

Ferrous salts

Senna

Milky

Iron Dextran

Sodium diatrizoate

Phosphates

Levodopa

Sulfonamides

Orange

Methocarbamol

Brown-Black

Chlorzoxazone

Methyldopa

Isosorbide mono or dinitrate

Dihydroergotamine

Naphthalene

Methyldopa

Heparin sodium

Pamaquine

Metronidazole

Phenazoyridine

Phenacetin

Nitrates

Phenindione

Phenols

Nitrofurans

Rifabutin

Quinine

Phenacetin

Rifampin

Sulfonamides

Providone Iodine

Sulfasalazine

Blue

Quinine

Warfarin

Anthraquinone

Senna

Orange-Red-Brown

DeWitt’s Pills

Dark

Clorzoxazone

Indigo blue

p-Aminosalicylic acid

Doxidan

Methocarbamol

Cascara

Phenazopyridine

Methylene blue

Levodopa

Rifampin

Mitoxantrone

Metronidazole

Warfarin

Nitrofurans

Nitrites

Orange-Yellow

Resorcinol

Phenacetin

Fluorescein sodium

Triamterene

Phenol

Rifampin

Blue-Green

Primaquine

Sulfasalazine

Amitriptyline

Quinine

Pink

Anthraquinone

Resorcinol

Aminopyrine

DeWitts pills

Riboflavin

Anthraquinone dyes

Doans pills

Senna

Asprin

Indigo Carmine

Green

Cascara

Magnesium salicylate

Amitriptyline

Danthron

Methylene blue

Anthraquinone

Defereoxamine

Resorcinol

DeWitt’s pills

Merbromin

Brown

Indigo Blue

Methyldopa

Anthraquinone dyes

Indigo Carmine

Phenazopyridine

Cascara

Indomethacin

Phenolphthalein

Choroquine

Methocarbamol

Phenothiazines

Hydroquinone

Methylene blue

Phenytoin

Levodopa

Nitrofurans

Salicylates

Methocarbamol

Phenols

Senna

Methyldopa

Phenols

Purple

Metronidazole

Propofol

Phenolphthalein

Nbitrofurans

Resorcinol

Red

Nitrofurantoin

Suprofen

Anthraquinone

Pamaquine

 

Cascara

 

Discoloration of Urine Due to Drugs

Continues

 

Red

 

 

Chlorpromazine

 

 

Daunorubicin

 

 

Deferoxamine

 

 

Dihydroergotamine mesylate

 

 

Dimethyl sulfoxide

 

 

Dmso

 

 

Doxorubicin

 

 

Heparin

 

 

Ibuprofen

 

 

Methyldopa

 

 

Oxyphenbutazone

 

 

Phenacetin

 

 

Phenazopyridine

 

 

Phenolphthalein

 

 

Phenylbutazone

 

 

Phenytoin

 

 

Rifampin

 

 

Senna

 

 

Red-Brown

 

 

Cascara

 

 

Deferoxamine

 

 

Methyldopa

 

 

Oxyphenbutazone

 

 

Pramaquine

 

 

Phenacetin

 

 

Phenazopyridine

 

 

Phenolphthalein

 

 

Phenothiazines

 

 

Phenylbutazone

 

 

Phenytoin

 

 

Quinine

 

 

Senna

 

 

Red-Purple

 

 

Chlorzoxazone

 

 

Ibuprofen

 

 

Phenacetin

 

 

Senna

 

 

 

 

 

 

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