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Resuscitation Box
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Bowel
Prep |
Others |
Medical
Gases |
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Bowel Prep
Information taken from the Data sheets provided with
the substances
THESE NOTES ARE FOR
INFORMATION ONLY NOT FOR PRESCRIBING
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Drug
Proprietary Name
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"Fleet"
Phospho Soda
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Presentation
Two polythene bottles each containing 45ml of clear,
colourless, ginger lemon flavored solution for oral use,
with the equivalent 0f 24.4g Sodium Dihydrogen Phosphate
Dihydrate Ph Eur and 10.8g Disodium Phosphate
Dodecahydrate Ph Eur per 45ml Sodium content = 5.0g per
45ml,. Excipients Glycerol, Sodium Saccharin, Sodium
Benzoate, ginger lemon flavouring, purified water, the
product id sugar free.
Uses
For use as a purgative for bowel cleansing in preparation
for surgery or preparing the colon for x-ray or endoscopic
examination.
Dosage and Administration
Adults only, One bottle should be taken in the morning and
a second in the evening on the day prior to examination,
and the patient should have a liquid diet.
The contents of the bottles should be diluted with a glass
of water and drunk, followed by a glass of water, followed
by another 750mls at mid day. See product leaflet for full
details
Contraindications
Fleet is contraindicated in patients with known or
suspected gastro intestinal obstruction or ileus, Do not
use in patients with congestive heart failure,
Hirschsprungs Disease or congenital Megacolon.
Precautions
Do not use when nausea vomiting or abdominal pain are
present unless directed by a physician.
Use with caution in patients with impaired renal function,
heart disease, colostomy, or on a low salt diet.
Interactions
Use with caution in patients taking calcium channel
blockers, diuretics, lithium treatment, or other medication
which might effect electrolyte levels.
Overdosage
Recovery from the toxic effects of accidental excess
injestion can normally be achieved by rehydration, though
intravenous administration of 10% calcium gluconate may be
necessary
Pharmaceutical precautions
Store below 25ºC, Do not refrigerate
Legal Category
P
Manufactured by
E.C. De Witt & Company
Runcorn, Cheshire. WA7 1SZ
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"Klean Prep"
(PEG)
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Presentation
An off white powder packed in 4 sachets. Each sachet
contains: Polyethylene Glycol 3350 USNF, 59.00g. Sodium
Sulphate Ph Eur.5.685g. Sodium Bicarbonate Ph EUR. 1.685g.
Sodium Chloride Ph EUR. 1.465g. Potassium Chloride PH EUR
0.7425g. Aspartame USNF. O.0494g.
The contents of each sachet to be reconstituted with 1
litre of water.
Uses
Bowel preparation before colonoscopy, colonic surgery,
radiological and other related procedures.
Indications
Dosage and administration
Reconstituted solution for oral administration.
Adults he contents of each sachet to be reconstituted with
1 litre of water. 250 ml to be drunk rapidly every 10-15
minutes until all the solution has been consumed. The
procedure to be repeated with all four sachets or until the
rectal effluent is clear. the solution from all four
sachets should be drunk in 4 - 6 hours. The solution can
be administered by nasogastric tube for which the flow
rate should be 20-30ml / minute.
Not recommended for children.
Contraindications
Gastro-intestinal obstruction or perforation, ileus,
gastric retention, acute gastric or intestinal ulceration,
toxic colitis or magacolon, Patients with a body weight
less than 20 kg.
Precautions
Extra care should be taken in patients with impaired
gag reflex, reflux oesophagitis, those with diminished
consciousness and in ulcerative colitis.
All oral medication should be given at least an hour
before administration.
The prepared solution should be refrigerated and used
within 24 hours, any unused should be discarded.
Should pain and distension occur the rate of
administration should be slowed.
Careful consideration should be given before
administration in pregnancy.
Side Effects
Nausea, abdominal fullness, bloating, abdominal
cramps, vomiting, anal irritation, urticaria and allergic
reactions have been rarely reported.
Overdoseage
Pharmaceutical precautions
Legal Category
Manufactured by:
Norgine Ltd
116-120 London Road, Oxford OX3 9BA
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"Picolax"
Sodium picosulphate
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Presentation
Sachets each containing 16.1g of powder for oral
administration. Active ingredient Sodium picosulphate 10mg
with magnesium citrate formed in solution. Packed in
complete treatment packs of 2 sachets.
Uses
For clearance of bowel before examination by radiography,
endoscopy or surgery.
Indications
See above
Dosage and administration
Adults, The contents of one sachet are dissolved in a
cup of water, stir for 2-3 minutes and drink the mixture
after waiting for it to cool. 1st dose 1 sachet before
8.00am on day prior to examination, second sachet between 2-4pm on the day before the examination.
Children 1-2 years 1/4 sachet am 1/4 sachet pm.
Children 2-4 years 1/2 sachet am 1/2 sachet pm.
Children 4-9 years 1 sachet
am 1/2 sachet pm
Over 9 Years as per adult.
A low residue diet is recommended for 2 days prior to
examination, and a liberal intake of clear fluids enough
to satisfy thirst.
Patients should be warned to expect loose and frequent
bowel motions.
Contraindications
General indications to purgative use applies.
Severely reduced renal function.
Precautions
Care should be taken in patients with inflammatory
bowel disease and possible intestinal obstruction.
Interactions
Picolax increases gastric intestinal transit rate,
which will affect the absorption of other oral medication,
care should be taken with patients taking diuretics and
cortico steroids, or drugs where hypokaaemia is a
particular risk.
Side Effects
Overdoseage
Overdoseage will lead to severe diarrhoea, treatment
is supportive and the maintenance of fluid intake.
Pharmaceutical precautions
Store at room temperature in a cool dry place
Legal Category
P
Manufactured by:
Ferring Pharmaceuticals Ltd
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"Senekot
Tablets"
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Presentation
Tablets, small brown tablets engraved on one side with
the word Senekot and the other a sword symbol. One tablet
contains standardised senna equivalent to 7.5 mg total
sennosides calculated as sennoside B. Senekot tablets
contain lactose and parabens.
Uses
In the management of constipation, the action being
colon specific.
Reduction of faecal residue pre radiographic examinations.
Indications
Dosage and administration
2 Tablets at bedtime
Contraindications
Senekot like all laxatives should not be used when
there is undiagnosed acute or persistent abdominal symptoms.
Precautions
Side Effects
Overdoseage
Ensure patient's hydration and electrolyte balance is
maintained.
Pharmaceutical precautions
The tablets should be kept in closed airtight
containers.
Legal Category
GSL
Manufactured by:
Reckitt and Coleman
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Medicine Categories
(UK)
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GSL = General Sales List
P = A pharmacy sale
medicine only be sold from a retail pharmacy
POM = A prescription only medicine
CD = A preparation controlled by the
misuse of drugs act 1971
CD (Sch) Sch followed by 1,2,3,4,5, depending on the
schedule to the misuse of drugs Regulations 1985.
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