Question

Why is it preferable to manage constipation in elderly clients with daily Miralax or Metamucil as opposed to Milk of Magnesia every third day?

Answers:

A Miralax is an ultimately cheaper remedy

B Milk of magnesia tastes like chalk and ruins appetite

C Metamucil contains B vitamins

D Magnesium accumulates in elderly people with renal failure

Answer 1

Answer is option C

Metamucil containing B vitamins

The other given laxative may cause electrolyte imbalance in patient and they have been associated with electrolyte imbalance within the colonic lumen and may precipitate hypokalemia, fluid and salt overload, and diarrhea. Therefore, they should be used carefully in patients with congestive heart failure and chronic renal insufficiency. Chronic use of magnesium-containing laxatives may contribute to hypermagnesemia in patients with chronic renal insufficiency.