Drug Bisacodyl

NURS 1556 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Bisacodyl

Trade Name Bisaco-Lax

Classification

Dose

Route

Time/frequency

Stimulant laxative

10 mg

rectal

PRN every day

Peak

Onset

Duration

Unknown

15 to 60 minutes

unknown

For IV meds, compatibility with IV drips and /or solutions N/A

Mechanism of action and indications (Why med ordered)

Nursing Implications (what to focus on) Contraindications/warnings/interactions

Treatment of constipation. Evacuation of the bowel before radiologic studies or surgery. Part of a bowel regimen in spinal cord injury patients. Stimulates peristalsis. Alters fluid and electrolyte transport, producing fluid accumulation in the color.

Hypersensitivity abdominal pain, obstruction, nausea or vomiting,

Ordered for: constipation

Abdominal cramps, nausea, diarrhea, rectal burning, hypokalemia, muscle weakness

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)

Lab value alterations caused by medicine N/A

Antacids, H2 receptor antagonists, gastric pump inhibitors Milk may decrease absorption of other orally administered medications because of increased motility and decreased transit time. Other bowel stimulants

Be sure to teach the patient the following about this medication

Nursing Process- Assessment (Pre-administration assessment) Assess for abdominal distention, bowel sounds and usual pattern of bowel elimination.

Common side effects

Only use for short term therapy, increase fluid intake to at least 1500 to 2000 ml a day, encourage to use other forms of bowel regulation, should not use when constipation is accompanied by abdominal pain, fever, nausea, or vomiting.

Assessment Why would you hold or not give this med? Allergies or when patient is regular with bowel elimination.

Evaluation Check after giving Assess amount, consistency, and color of stool produced.