docusate sodium

Class

Laxative, stool softener

Action

Promotes incorporation of water into stool, resulting in softer fecal mass.

May also promote electrolyte and water secretion into the colon.

Therapeutic Effects

Softening and passage of stool.

Adverse Reactions/Side Effects

Rash, throat irritation, diarrhea, mild cramp.

Route/Dosage

Contraindications/Precautions

Hypersensitivity, abdominal pain, nausea, or vomiting, especially when associated with fever.

Interactions

None significant.

Nursing Implication/Implementation

Administer PO with full glass of water or juice

Maybe given an empty stomach for more rapid results

Do not administer within two hours of other laxatives, especially mineral oil

Evaluation/Desired Outcomes

A soft, formed, bowel movement, usually within 24 to 48 hours

Rectal dose forms produce results within 2 to 15 minutes

Patient/Family Teaching

Advise patients that laxatives are for short term therapy

Long-term therapy may cause electrolyte, imbalance, and dependence

Encourage other forms of bowel regulation

Do not use within two hours of other laxatives