docusate sodium (Colace)

Question 1

this medication is a STOOL SOFTNER

Answer 1

docusate sodium (Colace)

Question 2

docusate sodium (Colace) action

Answer 2

reduces surface tension of the oil-water interface of the stool resulting in enhanced incorporation of water + fat allowing for STOOL SOFTENING

Question 3

docusate sodium (Colace) dosing

Answer 3

• adults + children 12 yr+: 50-500mg/daily

- children 6-12 yr: 40-120mg/daily

Question 4

Adverse effects of docusate sodium (Colace)

Answer 4

• GI cramping pain + diarrhea + rashes
• throat irritation (liquid suspension)
• PT MUST IMMEDIATELY REPORT rectal irritation + bleeding

Question 5

Adverse effects for docusate sodium (Colace) requiring immediate attention:

Answer 5

• wheezing
• chest tightness
• fever
• itching
• bad cough
• blue coloring of skin
• seizures
• swelling of face, lips, tongue, throat

Question 6

Contraindications for docusate sodium (Colace)

Answer 6

• Do not use LONGER than 7 days
• PTs with GI issues: abd pain, nausea, vomiting
• PTs with appendicitis, diverticulitis, ulcerative colitis
• PTs with fecal impaction, bowel obstruction

Question 7

When on docusate sodium (Colace) monitor for:

Answer 7

HYPOmagnesemia in NEWBORNS when mothers used medication during pregnancy

Question 8

PT education docusate sodium (Colace)

Answer 8

• take medication with FULL glass of water
• mix medication with milk + fruit to prevent throat irritation
• only use when clearly necessary + use only the LOWEST effective dose
• STOP USE if rectal bleeding occurrs

Question 9

Drug interactions for docusate sodium (Colace)

Answer 9

• Aspirin: use with caution; potential for aspirin-induced intestinal mucous damage
• Mineral oil: increased GI absorption of mineral oil