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Nursing Student Med Guide Template

Neostigmine is a cholinergic medication used to reverse the effects of nondepolarizing neuromuscular blockers after surgery. It works by inhibiting the breakdown of acetylcholine, allowing it to accumulate and have a prolonged effect. Potential complications include seizures, weakness, excess secretions, and bradycardia. It should be used cautiously in patients with asthma, heart conditions, or seizure disorders. Nurses should monitor patients' vital signs and the reversal of neuromuscular blockade after administration.

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Marina Wasem Netzlaff
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602 views1 page

Nursing Student Med Guide Template

Neostigmine is a cholinergic medication used to reverse the effects of nondepolarizing neuromuscular blockers after surgery. It works by inhibiting the breakdown of acetylcholine, allowing it to accumulate and have a prolonged effect. Potential complications include seizures, weakness, excess secretions, and bradycardia. It should be used cautiously in patients with asthma, heart conditions, or seizure disorders. Nurses should monitor patients' vital signs and the reversal of neuromuscular blockade after administration.

Uploaded by

Marina Wasem Netzlaff
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ACTIVE LEARNING TEMPLATE: Medication

STUDENT NAME______________________________________
Neostigmine
MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________

CATEGORY CLASS__Cholinergics (antimyasthenics)


_____________________________________________________________________

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

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