Mr. M’s constipation is addressed by:
- Repleting fluids IV to correct de-hydration and hypercalcemia, replete K+
- Minimizing use of anti-cholinergics, including compazine - treatment of constipation may “cure” his nausea
- Discontinuing Diltiazem with plan for alternative anti-hypertensive if needed
- Continuing Colace 100 mg TID
- Adding Polyethylene glycol (Miralax ®) - a saline agent that passes through small bowel and draws water into the colon.
- Assuring comfort/privacy - facilitate access to bathroom/commode