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Bismuth subsalicylate
Trade NameKaopectate, Pepto-Bismol
IndicationDiarrhea, heartburn, indigestion, H. pylori associated ulcer
ActionStimulates the absorption of fluids and electrolytes in the intestinal wall, reduction in hypermotility of the stomach, and binds to toxins.
Therapeutic ClassAntidiarrheal, antiulcer, antacid
Pharmacologic ClassAbsorbent
Nursing Considerations• Contraindicated in aspirin hypersensitivity • Increase risk for impaction with geriatric and pediatric patients • Monitor liver profile • Bismuth may interfere with radiologic exams
By Jon Haws, RN CCRN Alumnus4.4
157157 ratings
Bismuth subsalicylate
Trade NameKaopectate, Pepto-Bismol
IndicationDiarrhea, heartburn, indigestion, H. pylori associated ulcer
ActionStimulates the absorption of fluids and electrolytes in the intestinal wall, reduction in hypermotility of the stomach, and binds to toxins.
Therapeutic ClassAntidiarrheal, antiulcer, antacid
Pharmacologic ClassAbsorbent
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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