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Senna 8.6 mg
Nursing Therapeutics And Pharmacologic Management In Patient (NRS 115)
College of Staten Island CUNY
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Drug Card Template Student Name: Samantha Mendoza Classification: Stimulant laxative Generic Name: Senna
Expected Pharmacological Action: Sennosides are known as stimulant laxatives. They work by keeping water in the intestines, which causes movement of the intestines./They irritate the intestines to make cause a quick expulsion of stool to treat constipation.
Usual Dose: Granules, PO 1 level tsp once or twice daily
Syrup, PO 10–15 mL once or twice daily
Tablets, PO 2 tablets once or twice daily
For geriatric, obstetric, or gynecologic patients, reduce all dosages by half
Usual routes: PO
Therapeutic Uses: Expected Common Adverse Effects:
Adverse Effects Requiring Nursing Action: Adverse Effect Action: Prevention/Assessment/Intervention Persistent N/V/D Irregular heartbeat and dizziness Symptoms of a serious allergic reaction including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
Assess patient for skin turgor and other signs of dehydration, monitor patient for I&O, and give IV fluids. Monitor pt’s VS as soon as patient complains of dizziness and possible EKG for the irregular heart beat call HCP and report symptoms. Assess patient for allergy history, and assess patients for signs and symptoms of hypersensitivity after administration.
Likely Medication/Food Interactions: Digoxin - Senna can decrease potassium levels, and if taken with digoxin, can increase the side effects of digoxin Warfarin - Can increase the effects of warfarin and increase the risk of bleeding. HCTZ, Furosemide, chlorothiazide - Causes a decrease in potassium; taking senna with these medications can cause potassium depletion.
Administration/Interventions/Evaluation of Effectiveness/Laboratory Work
1 pain 2 3-brown urine
1 of constipation. 2 may also be used to clean out the intestines before a bowel examination/surgery.
Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely.
Do not take other drugs within 2 hours of this drug. Take at bedtime if taking once a day.
Liquid forms: Shake well before use. Measure liquid doses carefully. Use the measuring device that comes with this drug. If there is none, ask the pharmacist for a device to measure this drug.
Chewable tablet: Chew well before swallowing.
Tablets and capsules: Swallow whole. Do not chew, break, or crush and take with a full glass of water.
Patient Education: What will the safe nurse teach the client to DO or expect or report Pregnancy and breast-feeding: Senna is POSSIBLY SAFE during pregnancy and breast-feeding when taken by mouth, short-term. It is POSSIBLY UNSAFE when taken by mouth long-term or in high doses. Long-term, frequent use, or use of high doses has been linked to serious side effects including laxative dependence and liver damage.
Electrolyte disturbances, potassium deficiency: Overuse of senna can make these conditions worse.
Dehydration, diarrhea or loose stools: Senna should not be used in people with dehydration, diarrhea, or loose stools. It can make these conditions worse.
Gastrointestinal (GI) conditions: Senna should not be used by people with abdominal pain (either diagnosed or undiagnosed), intestinal blockage, Crohn's disease, ulcerative colitis, appendicitis, stomach inflammation, anal prolapse, or hemorrhoids.
Heart disease: Senna can cause electrolyte disturbances and might make heart disease worse. Cite Reference: WebMD, Lippincott Advisor for Education
Senna 8.6 mg
Course: Nursing Therapeutics And Pharmacologic Management In Patient (NRS 115)
University: College of Staten Island CUNY
