UNIT 11 Laxative: Stimulant

Question 1

causes of Constipation

Answer 1

Causes
 Bowel obstruction, fecal impaction
 Chronic laxative use, ignoring urge to
defecate
 Neurologic disorders
 Side effect of drugs
 Lack of exercise
 Insufficient consumption of fiber and/or
water
Constipation

Question 2

What is the drug class of Bisacodyl

Answer 2

Laxative stimulant

Question 3

Action of Bisacodyl

Answer 3

Bisacodyl
 Action
 Increase peristalsis by direct effect on smooth
muscle of intestine

 Use
 Bowel prep, short-term tx for constipation

 Results
 Orally 6 to 8 hours, rectally 15 to 60 minutes

Question 4

 Side effects

Answer 4

 Side effects
 Abdominal cramps, weakness, GI distress,
diarrhea

Question 5

Adverse effect of Bisacodyl

Answer 5

 Adverse Reaction: dependence, hypokalemia
Laxative - bisacodyl

Question 6

Contraindications for Bisacodyl

Answer 6

Contraindications
 Undiagnosed abdominal pain
 Inflammatory disorders of the GI tract
 Appendicitis, diverticulitis, ulcerative colitis
 Bowel obstruction, fecal impaction
 Pregnancy
 Interactions
 Antacids, H2, PPI
 Milk
Laxatives

Question 7

Assessment and nursing interventions for Bisacodyl

Answer 7

Assessment
 Medical/medication history
 Baseline vital signs
 Interventions/teaching
 Monitor I & O, increase fluids/fiber
 Monitor fluid & electrolytes as drug works
 Encourage fluid intake, fiber, exercise
 Avoid overuse
 Do not chew tablets
 Use only as needed with water
 Do not take within 1 hour of another drug
 Take at time it will not interfere with activities or
sleep
Nursing Process: Laxative