Vallerand, A. H., Sanoski, C. A., & Quiring, C. (2020). Trospium.

In Davis's Drug Guide (16th

edition). F.A. Davis Company. https://nursing.unboundmedicine.com/nursingcentral/view/Davis-
Drug-Guide/51835/all/trospium
Medication/ Dose Route/Frequency Trospium
Generic/Trade Ther. Class.
urinary tract antispasmodics
Pharm. Class.
antimuscarinics

Classification Pharm. Class.

antimuscarinics

Why is Client Receiving? I don’t have a pt with this

Therapeutic Effect- What does it do? . Increased bladder capacity and decreased symptoms of
overactive bladder

Mechanism of Action- How does it do it? Antagonizes the effect of acetylcholine at muscarinic
receptors in the bladder; this parasympatholytic action reduces bladder smooth muscle tone

Adverse Effects CNS: headache, confusion, dizziness, drowsiness, fatigue, hallucinations

EENT: blurred vision
GI: constipation, dry mouth, dyspepsia
GU: urinary retention, urinary tract infection
Misc: ANGIOEDEMA, fever, heat stroke
* CAPITALS indicate life-threatening.
Underline indicate most frequent.

NSG Implications Monitor voiding pattern and intake and output ratios.

Patient Education Instruct patient to take as directed. If a dose is skipped, take next dose 1 hr
prior to next meal.
 May cause drowsiness, dizziness, and blurred vision. Caution patient to avoid driving
and other activities requiring alertness until response to medication is known. Advise
patient to avoid alcohol; may increase drowsiness.
 Advise patient to notify health care professional immediately of signs and symptoms
of angioedema (edema of the tongue or laryngopharynx, difficulty breathing) occur.
 Caution patient that heat prostration (fever and heat stroke due to decreased sweating)
may occur when trospium is taken in a hot environment.
Vallerand, A. H., Sanoski, C. A., & Quiring, C. (2020). Trospium. In Davis's Drug Guide (16th
edition). F.A. Davis Company. https://nursing.unboundmedicine.com/nursingcentral/view/Davis-
Drug-Guide/51835/all/trospium
 Instruct patient to notify health care professional of all Rx or OTC medications,
vitamins, or herbal products being taken and consult health care professional before
taking any new medications.
 Advise female patient to notify health care professional if pregnancy is planned or
suspected, or if breast feeding.

Labs to check None