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Bismuth Subsalicylate Nursing Considerations, Side Effects, Mechanism of Action

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Bismuth Subsalicylate
Generic Name: bismuth subsalicylate
Trade Name: Kaopectate, Pepto-Bismol
Indication: diarrhea, heartburn, indigestion, H. pylori associated ulcer
Action: Stimulates the absorption of fluids and electrolytes in the intestinal wall, reduction in hypermotility of the stomach, and binds to toxins.
Therapeutic Class: antidiarrheal, antiulcer
Pharmacologic Class: adsorbant
Nursing Considerations:
 contraindicated in aspirin hypersensitivity
 increase risk for impaction with geriatric and pediatric patients
 monitor liver profile
 bismuth may interfere with radiologic exams

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