Tugas Dulcolax

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DULCOLAX

Drug Data Classification Mechanism of Action Indication Contraindications Adverse Reactions Nursing Responsibilities
Generic Name Pharmacologic Stimulates peristalsis by General Contraindications GI: abdominal Before
Bisacodyl Class: directly irritating the Indications Hypersensitivity, cramps, nausea, -Check for the doctors order
Stimulant smooth muscle of the -treatment for abdominal pain, diarrhea, rectal -Confirm patients identity
Trade Name laxatives intestine, possibly the constipation obstruction, N/V burning -Prepare the medicine
Dulcolax colonic intramural plexus; -Assess patient for abdominal distension, presence of bowel
Therapeutic alters water and electrolyte Patients Actual Precautions F&E: hypokalemia sounds and usual pattern of bowel function.
Patients Dose Class: secretion producing net Indication Use cautiously in severe (chronic use) -Assess patients and familys knowledge of drug therapy
1 tab BID laxatives intestinal fluid accumulation -treatment for cardiovascular disease,
and laxation. constipation and or rectal fissures, MS: muscle During
Availability Pregnancy Risk . excess or prolonged weakness (chronic -Administer at bedtime for morning results
Enteric-coated Category: Pharmacokinetics use, products containing use) -P.O: taking on an empty stomach will produce more rapid
tablets: 5 mg B Absorption: tannic acid, should not results.
OTC Minimal from the GI tract be used as multiple MISC: protein- -Do not crush or chew enteric coated tablets. Take with full
Enteric-coated (oral, as enteric-coated enemas, may be used losing enteropathy, glass of water or juice
and delayed tablets/suppositories). during pregnancy & tetany (chronic use) -Do not administer oral doses within 1 hr of milk or antacid
release: 5mg lactation. causes gastric irritation
OTC Metabolism: -Consider rights of drug administration
Converted to bis(p- Drug interactions
Routes of hydroxyphenyl)pyridyl-2- Milk: may remove After
administration methane by intestinal or enteric coating at -Advise patient that laxatives should be used only for short-
P.O bacterial enzymes. tablets, resulting in term therapy. Prolonged use may lead to electrolyte imbalance
gastric & dependence.
Excretion: irritation/dyspepsia -Advise to increase oral fluid intake to 1500-2000 ml/day to
Faeces; urine (as prevent dehydration
glucuronide). -Encouraged pt. to use other forms of bowel regulation
-Advise pt. that bisacodyl should not be used when
Onset: constipation is accompanied by abdominal pain, fever, N/V
- Report any signs of unusualities
oral : 6 to 12 hours
rectal: 20 to 60 minutes

Drug Half Life: 8 hours

Source: Davis Source: Davis Source: Davis drug guide, Source: Davis Source: Davis drug Source: Davis drug Source:Davis drug guide, 9th ed pg. 117-118
drug guide, 9th ed drug guide, 9th ed 9th ed pg. 117 drug guide, 9th ed guide, 9th ed pg. 117 guide, 9th ed pg. 117
pg. 116 pg. 117 pg. 117

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