Copy of Colace-1 - medication information colace with quiz questions PDF

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Summary

medication information colace with quiz questions...

Description

docusate [Colace]

General Information Therapeutic Class

Pharmacological Class

Controlled Substance Class

Laxatives

Stool Softeners

Schedule N

Pregnancy Class:

Lactation Class:

Route & Dosage

Category C

No controlled data

PO: 50-400mg in 1-4 divided doses

Indications & Contraindications Indications ● ●

PO: Prevention of constipation in patients who should avoid straining. In pregnancy GI tract motility is slowed because of progesterone, resulting in increased reabsorption of water and drying of stool. Intestines are compressed by the enlarging uterus, and iron supplementation may be a factor as well.

Contraindications ● ● ● ●

Hypersensitivity Abdominal pain Nausea Signs of fever or acute abdomen

Action, Therapeutic & Adverse Effects Mechanism of Action ● ●

Promotes incorporation of water into stool, resulting in softer fecal mass. May also promote electrolyte and water secretion into the colon

Therapeutic Effects ●

Softening the passage of stool.

Adverse Effects ● ● ●

Throat irritation Mild cramps, diarrhea Rashes

Nursing Implications Assessment ●

Assess for abdominal distention, presence of bowel sounds, and usual pattern of bowel function.

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Assess color, consistency, and amount of stool produced.

Implementation ● ● ● ●

Colace does not stimulate intestinal peristalsis; stimulant laxatives may be required for constipation PO: Administer with a full glass of water or juice. May be administered on an empty stomach for faster results Do not administer within 2 hours of other laxatives, especially mineral oil. May cause increased absorption.

Client Education ● ● ● ● ● ●

Laxatives should only be for short term use. Long term therapy may cause electrolyte imbalance and dependence. Encourage patients to use other forms of bowel regulation such as increasing fiber in the diet, increasing fluid intake, and increasing mobility. Patients with cardiac conditions should not perform the Valsalva maneuver. Do not take stool softeners without a doctor’s order. Maintain a regular schedule for bowel movements Drink 6-8 glasses of water a day.

Interactions ● ● ●

Additive hypokalemia with loop or thiazide diuretics. Increased risk of GI effects with NSAID use. May require an increase requirement of insulin or oral hypoglycemic agents.

Sources ●

Colace | Davis’s Drug Guide. (2017). Drugguide.com. Retrieved 26 August 2017, from https://www.drugguide.com/ddo/view/Davis-Drug-Guide/109295/all/DOCUSATE?q=colace&ti=0

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Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2017). Maternal Child Nursing Care (5th ed., p. 210). St. Louis, Missouri: Elsevier.

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Quiz

1.

The generic name for Colace is ________________

2.

Colace is classified as a

3.

a.

Laxative

b.

Stool Softener

c.

Bulk forming laxative

d.

Stimulant laxative

What are causes of constipation in pregnancy? SATA a.

Stress

b.

Compression of intestines

c.

Progesterone secretion

d.

Opioid Use

e.

Iron Supplements

4.

What is Colace’s mechanism of action? _____________________

5.

Pregnant women with ischemic heart disease should avoid a.

Straining when defecating

b.

Diuretics

c.

Laxatives

d.

Vasodilators

6.

How many glasses of water are advised daily? ____________________

7.

Colace may require an increase in insulin. True False

8.

Other methods to help prevent constipation in pregnancy are: SATA

9.

a.

Exercise

b.

Maintaining a regular schedule of bowel movements

c.

Increasing fiber in the diet

d.

Drinking 6-8 glasses of water daily

e.

Bedrest

For faster results Colace can be administered: a.

With mineral oil

b.

With water

c.

On an empty stomach

d.

With 4 oz. of protein

10. Side effects of Colace include: SATA a.

Diarrhea

b.

Cramps

c.

Sore throat

d.

Pyrexia

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