Pharmacology
Generic: docusate
calcium
(OTC)
Brand: Colace
Class: Laxative, emollient; stool softener
Dose: Adult: Adult: PO 50-400 mg/day in divided
doses (sodium) or 240 mg q day (calcium); Rectal
ENEMA 4 mL
Route: Oral, Rectal enema
Mechanism of Action:
Increases water, fat penetration in intestine; allows for easier passage of stool
Therapeutic Uses:
Prevention of dry, hard stools
Side/Adverse Effects:
Bitter taste, throat irritation, Nausea,
anorexia, cramps, diarrhea, Rash
Nursing Considerations:
Hypersensitivity, obstruction, fecal
impaction, nausea/vomiting
Nursing Assessment:
Precautions: Pregnancy, breastfeeding
Cause of constipation; identify whether
fluids, bulk, or exercise is missing from
lifestyle; constipating products
Cramping, rectal bleeding, nausea,
vomiting; if these occur, product should be
discontinued
Patient Education:
That normal bowel movements do not always occur daily.
Not to use in presence of abdominal pain, nausea, vomiting
To notify prescriber if constipation is unrelieved or if symptoms of electrolyte imbalance occur:
muscle cramps, pain, weakness, dizziness, excessive thirst
That product may take up to 3 days to soften stools
To take oral preparations with a full glass of water (unless on fluid restrictions) and to increase
fluid intake
Evaluation of Effectiveness: decrease in constipation