Route of

Date Ordered/ Mechanism of Client’s

Medication Administration/Dosa Indication Contraindication Nursing Responsibilities
Given/ Taken Action Response
ge/Frequency
Generic Date Ordered: Route: PO/ PR Unknown. Prevention of Hypersensitivity, After 6-12 Prior
Name: February 25, Dosage: 5 mg. Stimulants constipation abdominal pain, hours, -Check for the doctor’s
Bisacodyl 2020 Frequency: BID laxatives that cause by obstruction, N/V medication order
Trade Name: Pregnancy Risk increases limited fluid CNS: Muscle caused patient to -Confirm patient’s identity
Dulcolax Category: peristalsis, intake, iron weakness with have bowel and any potential allergies
Classification: B probably by supplements, excessive used, movement such patient could have.
Stimulant direct effect on and phosphate dizziness, faintness as increase GI -Prepare the medicine
laxatives smooth muscle binders. GI: Nausea and motility and/ or -Assess patient for abdominal
of the intestine, vomiting, permit passage distension, presence of bowel
sounds and usual pattern of
by directly abdominal cramps, of flatus and/or bowel function and ask any
irritating the burning sensation stool. medical history, especially
smooth muscle in rectum with of: appendicitis or symptoms of
of intestine or suppositories. appendicitis (such
stimulating the Metabolic: as nausea/vomiting, sudden or
unexplained stomach/abdominal
colonic alkalosis, pain), a sudden change in bowel
intramural hypokalemia, fluid habits that lasts for longer than 2
plexus. and electrolyte weeks, bleeding from the rectum,
;alters water and imbalance. intestinal blockage.
electrolyte -Assess patient’s and
secretion family’s knowledge of
producing net drug therapy
intestinal fluid
accumulation During
and laxation. -Administer at bedtime for
Absorption: morning results
Minimal from -P.O: taking on an empty
the GI tract stomach will produce more
(oral, as enteric- rapid results. Store tablets
coated in tightly closed containers
tablets/supposito at temperatures not
ries). exceeding 30° C (86° F)

Metabolism: -P.R: Suppository may be

Converted to inserted at time bowel
bis(p- movement is desired.
hydroxyphenyl) Storage is same as tablets.
pyridyl-2-
methane by
intestinal or -Do not crush or chew
bacterial enteric coated tablets. Take
enzymes. with full glass of water or
juice
Excretion: -Do not administer oral doses
Faeces; urine (as within 1 hr of milk or antacid
causes gastric irritation and may
glucuronide). increase the risk of stomach upset
and nausea.
-Consider rights of drug
administration

After
-Advise patient that
laxatives should be used
only for short-term
therapy. Prolonged use
may lead to electrolyte
imbalance & dependence.
-Inform patient that it may take 6
to 12 hours before this medication
causes a bowel movement. 
-Advise to increase oral
fluid intake to 1500-2000
ml/day to prevent
dehydration Add high-
fiber foods slowly to
 regular diet to avoid gas
and diarrhea.
-Advise pt. that bisacodyl
should not be used when
constipation is
accompanied by
abdominal pain, fever,
N/V
- Monitor patients
receiving concomitant
anticoagulants.
Indiscriminate use of
laxatives results in
decreased absorption of
vitamin K

 - Inform patient about

common drug effect like;
Abdominal cramping,
Electrolyte and fluid
imbalance, Excessive diarrhea,
Nausea, Rectal burning,
Spinning sensation (vertigo),
Stomach/abdominal pain,
Vomiting
 Weakness

- If any signs beyond the

common signs are evident,
report unusualties.

Source: Davis
drug guide, 9th
ed pg. 116,
117, 118

Source:
https://www.rxlist.
com/consumer_bis
acodyl_dulcolax/d
rugs-
condition.htm

Source:
https://clinicaltrial
s.gov/ct2/show/rec
ord/NCT0101142
6?view=record

Source:
https://www.web
md.com/drugs/2/d
rug-
12263/bisacodyl-
oral/details
Source:
http://www.robhol
land.com/Nursing/
Drug_Guide/data/
monographframes/
B027.html