Intern Pocket Cards - Inpatient Bowel Regimen Guide

Osmotic agents (draws water into bowel, thereby loosening stool and promoting evacuation):

 • Polyethylene glycol - Nausea, bloating, cramping

 • Lactulose, Sorbitol - Abdominal bloating, flatulence 

 • Glycerin - Rectal irritation

 • Magnesium sulfate PO, Magnesium citrate - Watery stools and urgency 

Stimulant laxatives:

 • Bisacodyl - Rectal irritation

 • Senna - Melanosis coli

Bulk-forming laxatives (fiber absorbs excess water and stimulates elimination):

 • Psyllium - Impaction above strictures, fluid overload, gas, and bloating

Rectal distension:

 • Tap water enema - Discomfort during procedure



Notice that docusate is not on here as it is a #TWDFNR 



Dr. Satya Patel @SatyaPatelMD

Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset



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