Dulcolax

NURS 2516 Clinical Medications Worksheets Generic Name Bisacodyl Peak 15-60 min Rectal

Trade Name Dulcolax Suppository

Classification

Dose 10 mg

Laxative

Onset Rectal Unknown

Route

Time/frequency Q Day PRN

Rectal Duration Rectal Unknown

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

Mechanism of action and indications (Why med ordered) Treatment of constipation, stimulates peristalsis, alters fluid and electrolyte transport, producing fluid accumulation in the colon. The therapeutic effect is evacuation of the colon.

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity. Abdominal pain, obstruction, nausea, or vomiting. Use cautiously in severe cardiovascular disease, and and rectal fissures. Common side effects GI: Mild cramps, nausea, diarrhea, rectal burning, hypokalemia, muscle weakness. Derm: Rashes.

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Laxatives can interact with other laxatives.

Lab value alterations caused by medicine N/A

Nursing Process- Assessment (Pre-administration assessment) Assess for abdominal distention, presence of bowel sounds, and usual pattern of bowel function. Assess color, consistency, and amount of stool produced

Be sure to teach the patient the following about this medication Laxative should be used only short term, increase fluid intake to at least 1500-2000 mL/day during therapy to avoid dehydration. Avoid straining during bowel movement, use other forms of bowel regulation. Do not use when abdominal pain, nausea, vomiting, or fever is present. Advise patient not to take within 2 hr of other laxatives. Assessment Evaluation Why would you hold or not give this Check after giving med? A soft formed Bowel Soft stools, diarrhea, obstruction, movement within 24-48hrs. abdominal pain, nausea, or vomiting Rectal dose forms produce results within 2-15 min.