Neostigmine (Prostigmin) Nursing Considerations
Included In This Lesson
Study Tools For Neostigmine (Prostigmin) Nursing Considerations
Outline
Generic Name
Neostigmine
Trade/Brand Name
Prostigmin
Indication
- Myasthenia gravis
- Muscle relaxant reversal
Action
- Blocks action of acetylcholinesterase
- Increases level of acetylcholine
Therapeutic Class
Muscle stimulant
Pharmacologic Class
Cholinesterase inhibitor
Nursing Considerations
- May cause
- Weakness
- Hypotension
- Allergic reactions
- Muscle twitching
- Symptoms of overdose
- Constipation
- Difficult urination
- Decreased sexual ability
- Contraindications
- Hypersensitivity
- Peritonitis
- Mechanical obstruction of intestinal or urinary tract
Transcript
Okay, let’s take a look at the drug. Neostigmine also known as Prost stigma. This is an injectable medication, as you can see here, and it also comes in an oral form. So the therapeutic class or how the drug works in the body is a muscle stimulant while the pharmacologic class or the chemical effect of neostigmine is a colon esterase inhibitor. So neostigmine works by blocking the action of acetal colon esterase, which increases the level of acetylcholine neostigmine is used for the treatment of myasthenia gravis, and also as a muscle relaxant reversal agent. And this is a newer indication for this drug. So some of the side effects that Neos can cause are things like nausea, increased saliva, abdominal cramping, and also bradycardia a few of the nursing considerations for neostigmine include it may cause weakness in your patient as well as hypotension allergic reactions and muscle TWI twitching may occur signs of neostigmine overdose include constipation, difficult urination, as well as decreased sexual ability. Contraindications for neostigmine include hypersensitivity peritonitis in your patient or intestinal or urinary tract obstruction. So you want to teach the patient that while they are on this medication, they should document when they take it and how long it lasts. So this will help the provider to make any necessary adjustments to the dose of the drug. So guys here is an interesting fact about neostigmine. It is actually used to reverse the effects of a snake bite.
That’s it for neostigmine or Prost now go out and be your best self today and as always happy nursing.
Medical-Surgical Nursing Study Plan
Concepts Covered:
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Hematologic Disorders
- Acute & Chronic Renal Disorders
- Disorders of the Adrenal Gland
- Central Nervous System Disorders – Brain
- Documentation and Communication
- Preoperative Nursing
- Legal and Ethical Issues
- Immunological Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Medication Administration
- Renal Disorders
- Disorders of Pancreas
- Shock
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Vascular Disorders
- Respiratory Emergencies
- Peripheral Nervous System Disorders
- Studying
- Upper GI Disorders
- Communication
- Integumentary Disorders
- Lower GI Disorders
- Urinary Disorders
- Liver & Gallbladder Disorders
- Musculoskeletal Disorders
- Circulatory System
- EENT Disorders
- Noninfectious Respiratory Disorder
- Postoperative Nursing
- Neurological Emergencies
- Neurological Trauma
- Disorders of the Posterior Pituitary Gland
- Integumentary Important Points
- Disorders of the Thyroid & Parathyroid Glands
- Microbiology
- Tissues and Glands
- Disorders of Thermoregulation
- Urinary System
- Emergency Care of the Neurological Patient
- Central Nervous System Disorders – Spinal Cord
- Renal and Urinary Disorders
- Nervous System
- Respiratory Disorders
- Respiratory System
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Infectious Disease Disorders
- Perioperative Nursing Roles
- Shock
- EENT Disorders