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NURS 1556 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency


docusate Dulcolax Laxatives, stool 1 Rect. Q D PRN
sodium Stool Softener softeners
Peak Onset Duration For IV meds, compatibility with IV drips and /or
Unknown 2-15 min Unknown solutions

Mechanism of action and indications (Why med ordered) Nursing Implications (what to focus on)
Constipation, Prevention of constipation, Used as enema Contraindications/warnings/interactions -
to stoften fecal impaction. Promotes incorporation of Hypersensitivity. Abdominal pain, nausea, or vomiting,
water into stool, resulting in softer fecal mass. May also especially when associated with fever or other signs of an
promote electrolyte and water secretion into stool, acute abdomen. Excessive or prolonged use may lead to
resulting in softer fecal mass. May also promote dependence.
electrolyte and water secretion into the colon. Softening Common side effects - Mild cramps, throat irritation,
and passage of stool. rashes

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) - None known.
None significant.
Be sure to teach the patient the following about this
medication - For short-term therapy. Long-term therapy
may cause electrolyte imbalance and dependence.
Encourage patients to use other forms of bowel
regulation, such as increasing bulk in the diet, increasing
fluid intake (6-8 full glasses/day), and increasing
mobility. Normal bowel habits are variable and may vary
from 3 times/day to 3 times/wk. Instruct patients with
cardiac disease to avoid straining during bowel
movements (Valsalva maneuver). Advise patient not to
use laxatives when abdominal pain, nausea, vomiting, or
fever is present. Advise patient not to take docusate
within 2 hr of other laxatives.
Nursing Process- Assessment Assessment Why would you hold or Evaluation Check after
(Pre-administration assessment) - Assess for not give this med? - When abdominal giving - A soft, formed
abdominal distention, presence of bowel pain, nausea, vomiting, or fever is bowel movement. Rectal
sounds, and usual pattern of bowel function, present or when client is not dose forms produce results
Assess color, consistency, and amount of stool constipated. within 2-15 min.
produced.

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