ACTIVE LEARNING TEMPLATE: Medication

STUDENT NAME______________________________________
Neostigmine
MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________

CATEGORY CLASS__Cholinergics (antimyasthenics)

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PURPOSE OF MEDICATION

Expected Pharmacological Action Therapeutic Use

Inhibits the breakdown of acetylcholine so Reversal of nondepolatizing neuromuscular
that it accumulates and has a prolonged blockers after surgery.
effect. (Miosis, increas. intestinal and skeletal
muscle tone, > salivation, lacrimation,sweat.

Complications Medication Administration

Seizures, dizziness, weakness, lacrimation, miosis, IV- onset 10-30min
bronchospasm, excess secretions, bradycardia, peak 20-30min
hypotension, abdominal cramps, diarrhea, excess duration 2-4hr
salivatiom, nausea, vomiting, sweating, rash.

Contraindications/Precautions
Hypersensitivity, mechanical obstruction of GI, GU.
Lactation, CAUTIONSLY: asthma, ulcer disease,
cardiovascular disease, seizure disorder, hyperthyroidism. Nursing Interventions
Assess pulse, respiratory rate,
and BP prior to adm. Report
changes in heart rate. Reversal
of Nondepolarizing
Neuromuscular Blocking
Interactions
Agents: Monitor reversal of
Drugs possessing anticholinergic properties, effects of neuromuscularblockin
antihistamines, antidepressants, atropine, haloperidol,
quinidine, disopyramide.

Client Education
Advise female patient to notify
health care if pregnancy is
Evaluation of Medication Effectiveness planned or suspected or if
Relief of ptosis and diplopia. Improved chewing, breastfeeding.
swallowing, extremity strenght, breathing without the
appearance of cholinergic symp. in myasthenia gravis.
Reversal of nondepolarizing neuromuscular blocking agent

ACTIVE LEARNING TEMPLATES