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Macrogol electrolyte disturbance frailty — GPhC CRA MCQ

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EasyRenal and Hepatic ImpairmentMacrogol electrolyte disturbance frailtyGPhC CRA

A frail care home resident with CKD is prescribed repeated high-dose macrogol for faecal impaction. Staff ask what to watch for during treatment. What monitoring is required?

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Correct answer: C — Hydration status and electrolyte disturbance, with review if diarrhoea or weakness develops

High-dose osmotic laxatives can cause diarrhoea, dehydration and electrolyte disturbance, particularly in frail patients. Monitoring fluid intake and clinical status is important. New weakness or confusion should prompt review.

Reference: BNF