Docusate sodium - drug sheet PDF

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Bristol Community College NUR 101 Medication Sheet

Medications administered on your time Medication & Classification

1.Drug Action

1.

List the most common side effects/adverse reactions

2.Reason pt. is on medication. (Be specific)

2.

List all significant nursing actions related to the administration of med to this patient and number them.

I. Most common side effects/adverse reactions

2. Dosage: 100mg PO BID 0800, 2000

1. Pharmacodynamics: Promotes incorporation of water into stool, resulting in softer fecal mass. May also promote electrolyte and water secretion into the colon. Therapeutic: Softening and passage of stool.

3. Route of Administration: PO

Pharmacokinetics: Onset: 12-72 hours

1. 2. 3. 4. 5. 6.

Name of drug (trade/generic) Dosage R/A All times due All classifications Safe dose

1. Generic: Docusate sodium

Trade: Colace

No side effects are underlined or in red capitals

II. Nursing actions: A. Assessment: 1.

4. Scheduled times: 0800, 2000

Peak: unknown

5. Classifications: stool softener Therapeutic: Laxative

Duration: unknown

2.

Absorption: Small amounts may be 6. Safe dose:PO (Adults and Children >12 yr): 50–400 mg in 1–4 divided doses.

absorbed from the small intestine after oral administration.

7. Is this medication a HIGH ALERT drug? No

Distribution: unknown

8. Is this medication a “Look alike/sound alike” drug? Do not confuse Colace with Cozaar. Do not confuse Dulcolax (docusate sodium) with Dulcolax (bisacodyl). Do not confuse Kaopectate Stool Softener (docusate calcium) with Kaopectate (bismuth subsalicylate).

Metabolism: none listed

Assess for abdominal distention, presence of bowel sounds, and usual pattern of bowel function. Assess color, consistency, and amount of stool produced

B. Administration: 1.

Do not confuse Colace with Cozaar. Do not confuse Dulcolax (docusate sodium) with Dulcolax (bisacodyl). Do not confuse Kaopectate Stool Softener (docusate calcium) with Kaopectate (bismuth subsalicylate).

2.

This medication does not stimulate intestinal peristalsis; stimulant laxative may

Excretion: Amounts absorbed after oral administration are eliminated in bile.

3.

be required for constipation. PO Administer with a full glass of water or

Geriatric considerations:

4.

juice. May be administered on an empty stomach for more rapid results. Do not administer within 2 hr of other laxatives, especially mineral oil. May cause increased absorption.

none listed

2. Reason patient is on med. Patient has not had a bowel movement in two days

C. Teaching: 1.

2.

Advise patients that laxatives should be used only for short-term therapy. Longterm therapy may cause electrolyte imbalance and dependence. Encourage patients to use other forms of bowel regulation, such as increasing bulk in

Bristol Community College NUR 101 Medication Sheet

the diet, increasing fluid intake (6–8 full glasses/day), and increasing mobility. Normal bowel habits are variable and may 3.

vary from 3 times/day to 3 times/wk. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present.

4.

Advise patient not to take docusate within 2 hrs of other laxatives.

(Vallerand, A. & Sanoski, C., 2020, pp.455-456). Vallerand, A., & Sanoski, C. (2020). Davis's drug guide for nurses (17th ed.). F.A. Davis Company....