Drug Card-Docusate Sodium PDF

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Download Drug Card-Docusate Sodium PDF

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DRUG CARD FORMAT Student’s Name: Ruby Marteja

Date: 03/13/2021

Generic Name:

Docusate Sodium (dioctyl sodium sulfosuccinate)

Trade Name:

Colace, Correctol Extra Gentle, Pedia-Lax, Dulcolax Stool Softener, KS Stool Softener

Black Box Warning:

NONE

Drug Classification:

Therapeutic: Laxatives Pharmacologic: Surfactants

Indication: (What disease/illness) Mechanism of Action: (How does it do its job) Normal Dose Range: (Adult & Geri)

Prevention of constipation (Stool softener)

Onset/Peak/Duration: *Pre-administration Assessment Data:

Side effects:

Promotes incorporation of water into stool, resulting in softer fecal mass. May also promote electrolyte and water secretion into the colon PO: 50 to 360 mg docusate sodium or 240 mg docusate calcium daily until bowel movements are normal. Enema: Administer contents of 1 bottle PR one to three times daily. PO: Onset 12-72hr / Peak unknown / Duration unknown PR: Onset 2-15min / Peak unknown / Duration unknown Assess patient of abdominal distention, presence of bowel sounds, and usual pattern of bowel function. Assess color, consistency, and amount of stool produced. Assess for abdominal pain or tenderness. Determine whether patient has adequate fluid intake, exercise, and diet. Drug is laxative of choice for patients who should not strain during defecation, including patients recovering from MI or rectal surgery, those with rectal or anal disease that makes passage of firm stools difficult, and those with postpartum constipation. Throat irritation (oral), bitter taste, mild abdominal cramping, diarrhea, laxative dependence with long-term or excessive use.

Adverse effects:

Diarrhea

Contraindications:

Patients hypersensitive to drug, in those using mineral oil, and in those with intestinal obstruction or S&S of appendicitis, fecal impaction, or acute surgical abdomen, such as undiagnosed abdominal pain or vomiting. Assess for therapeutic effects such as: A soft, formed bowel movement, usually within 24-48 hours. Therapy may take 3-5 days for results. Rectal dosage forms produce results within 2-15min. Determine whether patient has adequate fluid intake, exercise, and diet. Assess patient of abdominal distention, presence of bowel sounds, and usual pattern of bowel function. Assess color, consistency, and amount of stool produced. Assess for abdominal pain or tenderness. Teach about dietary sources of fiber, including bran and other cereals, fresh fruit, and vegetables. Instruct patient to use drug only occasionally and not for longer than 1 week without prescriber’s knowledge. Tell patient to stop drug and notify prescriber if severe cramping occurs. Advise patients not to use OTC formulations for more than 7 days or when abdominal pain, nausea, or vomiting is present.

Post-Administration Assessment Data:

Patient Education:

Antidote: (if applicable)

Not applicable

References “Docusate Sodium”. (2019). In Lippincott Advisor. Clinical Diagnosis and treatment: Drugs. Retrieved from https:/advisor-edu.lww.com....