ATI Medication Neostigmine PDF

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Summary

ATI Medication Template...

Description

ACTIVE LEARNING TEMPLATE:

Medication

Fourrien STUDENT NAME Dalberte _____________________________________ MEDICATION Neostigmine __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ CATEGORY CLASS Antimyasthenics ______________________________________________________________________

PURPOSE OF MEDICATION

Expected Pharmacological Action Inhibit the breakdown of acetylcholine so that it accumulates and has a proponged effect.

Therapeutic Use Reversal of nondepolarizing neuromuscular blockers.

Complications Seizures, dizziness, bronchospasm, bradycardia, hyotension, weakness

Medication Administration IV push: adminsiter doses undiluded. May be given through Y-site of an IV of D5W, Ringer's solution or LR.

Contraindications/Precautions Hypersensitivity to neostigmine, cholinergics, or bromides; bradycardia, hypotension; mechanical obstruction of intestinal or urinary tract; peritonitis; administration with other cholinergic drugs; pregnancy (category C), lactation.

Interactions

Nursing Interventions Check pulse before giving drug to bradycardic patients. If below 60/min or other established parameter, consult physician. Atropine will be ordered to restore heart rate.

Action may be antagonized by drugs possessing anticholinergic properties including: antihistamines, antidepressants, atropine, haloperidol, quinine, disopyramide Client Education Evaluation of Medication Effectiveness Relief of ptosis and diplopia Reversal of nondepolarizing neuromuscalar blocking agents in general anesthesia.

ACTIVE LEARNING TEMPLATES

Advise female patient to notify health care professional if pregnancy is planned or suspected or breasfeeding....