NURS 2516 Clinical Medications Worksheets

Generic Trade Name Classification Dose Route Time/frequency

Name Dulcolax 10 mg Q Day PRN
Bisacodyl Suppository Laxative Rectal

Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
15-60 min Rectal Unknown Rectal
Rectal Unknown N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Treatment of constipation, stimulates peristalsis, alters Hypersensitivity. Abdominal pain, obstruction, nausea, or
fluid and electrolyte transport, producing fluid vomiting.
accumulation in the colon. The therapeutic effect is Use cautiously in severe cardiovascular disease, and and
evacuation of the colon. 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.
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
Lab value alterations caused by medicine
N/A
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.