Gi medication;medications for costipation;Surfactant laxative: Docusate sodium and Bulk Forming: Psyllium, methylcellulose

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8 Terms

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Surfactant laxative:

Docusate sodium


mechanism of action

Lowers the surface

tension of stool to allow 

penetration of water


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Therapeutic use

  • Treatment of constipation

  • Decrease risk of impaction

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complications

  • GI irritation

  • Rectal burning

  • Toxic magnesium levels

  • Sodium absorption & fluid retention

  • Dehydration

  • Obstruction

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contraindications

  • Clients with fecal impaction, bowel obstruction, & acute surgical abdomen to prevent perforation

  • Clients with nausea, cramping, abdominal pain

  • With the exception of bulk forming laxatives, clients with ulcerative colitis & diverticulitis

  • Use with caution in pregnancy & lactation

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Nursing education

  • Obtain complete history of laxative use and provide education

  • Chronic laxative use can lead to F&E imbalances

  • Increase fiber intake

  • Maintain regular exercise

  • Take with 8 oz of water

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Laxatives:

 psyllium, docusate sodium, bisacodyl, magnesium hydroxide, senna, lactulose


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Bulk forming mechanism of action

Psyllium, methylcellulose

Soften fecal mass & increase bulk

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Therapeutic use

  • Temporary tx of constipation

  • Control stool with ileostomy or colostomy

  • Promote passage of stool associated with decreased peristalsis

  • Decrease diarrhea with diverticulosis & IBS