NURS 1566 Clinical Medication Worksheet

Generic Name Trade Name Classification Dose Route Time/frequency

Docusate
sodium Colace Laxative 100 mg PO BID
Stool softener
Peak Onset Duration Normal Dosage Range
Unknown 24-48 hrs( up to 3-5 unknown 50 – 400 mg in 1- 4 divided doses
days)
Why is your patient on this medication: For IV meds, compatibility with IV drips and/or
Prevention of constipation in pt who should avoid solutions:
straining after surgery. To counteract effects of N/A
narcotics.
Mechanism of action and indications: Nursing Implications (what to focus on):
(Why med ordered) Contraindications/warnings/interactions: Hypersensitivity,
Promotes incorporation of water into stool, resulting in Abdominal pain, N/V, especially with fever or other signs
softer fecal mass. of acute abdomen. Excessive or prolonged use may lead to
Therapeutic effects: softening and passage of stool. dependence.

For prevention of constipation. Common side effects:

EENT: throat irritation
GI: mild cramps
Derm: rashes

Interactions with other patient drugs, OTC or Lab value alterations caused by medicine:
herbal medicines (ask patient specifically) Long term use may cause electrolyte imbalances

Interacts with other laxatives: MOM
Be sure to teach the patient the following about this
medication:
Encourage using other forms of bowel regulation:
increasing bulk in diet, increasing fluid intake (6-8 full
glasses/day), increasing mobility.
Pts with cardiac disease need to avoid straining during
bowel movements (Valsalva maneuver).

Nursing Process- Assessment Assessment Evaluation

(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.
Why would you hold or not give this
med?
Diarrhea, rectal bleeding, abdominal
distention, abdominal cramps, N/V, or
fever.
Check after giving
Pt should have a soft, formed
bowel movement; usually
within 24-48 hr. Therapy
may take 3-5 days for results.