NURS 1556 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Trade

Name Classification Dose Route Time/frequency Name Detrol Urinary tract 4 mg po QD @ HS tolterodine spasmodics, anticholinergics Peak Onset Duration Normal dosage range unknown Unknown 12 hrs 2 mg twice daily as tablets; may be lowered depending on response Why is your patient getting this medication Urinary Frequency Mechanism of action and indications (Why med ordered) Treatment of overactive bladder function that results in urinary frequency, urgency or urge incontinence. Acts as a competitive muscarinic receptor antagonist resulting in inhibition of cholinergically mediated bladder contraction. Decreases urinary frequency. Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) None for this patient For IV meds, compatibility with IV drips and/or solutions Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity Common side effects headache, dizziness, dry mouth

Lab value alterations caused by medicine None found

Nursing Process- Assessment (Pre-administration assessment) Bladder spasm

Be sure to teach the patient the following about this medication Instruct patient to take tolterodine exactly as directed. May cause dizziness and blurred vision. Assessment Evaluation Why would you hold or not give this Check after giving med? Absence of bladder spasm CNS depression

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