Kaolin/Pectin

 Action Absorbs fluid, binds and removes digestive tract irritants.

 Indications Symptomatic treatment of diarrhea.

 Contraindications Use in infants and children < 3 yr without physician guidance; use for > 2 days or in presence of high fever; intestinal obstruction; colitis.

 Route/Dosage

All doses are given after each loose bowel movement. ADULTS: PO 60–120 ml (regular strength) or 45–90 ml (concentrate) after each loose bowel movement. CHILDREN 6–12 YR: PO 30–60 ml (regular strength) or 30 ml (concentrate) per dose. CHILDREN 3–5 YR: PO 15–30 ml (regular strength) or 15 ml (concentrate) per dose.

 Interactions

Clindamycin, digoxin, lincomycin penicillamine (oral): Decreased absorption may occur; separate administration times by 2–4 hr.

 Lab Test Interferences None well documented.

 Adverse Reactions

GI: Constipation; fecal impaction (especially infants and elderly).

 Precautions

Pregnancy: Category B. Lactation: Kaolin and pectin are not absorbed from GI tract; transfer into breast milk is not expected.

 Administration/Storage

• Administer after each loose bowel movement.
• Shake suspension well before pouring.

 Assessment/Interventions

• Obtain patient history, including drug history and any known allergies. Note usual bowel patterns and onset of recent condition.
• Conduct complete abdominal assessment, including palpitation and auscultation.
• Assess for signs and symptoms of intestinal obstruction, fecal impaction or dehydration; notify physician if present.
• Assess vital signs, especially temperature. Notify physician if increased.

 Patient/Family Education

• Instruct patient to take medication after each diarrheal or loose stool.
• Advise patient to notify physician if diarrhea persists for more than 48 hr or if fever develops.
• Caution patient not to exceed recommended dosage.