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Pharmacololgy/Dosage Calc

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Neostigmine (Prostigmin) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

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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

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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.

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Pharmacololgy/Dosage Calc

Concepts Covered:

Study Plan Lessons

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Metronidazole (Flagyl) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Nitro Compounds

Parasympatholytics (Anticholinergics) Nursing Considerations

Hydralazine (Apresoline) Nursing Considerations

Magnesium Sulfate

Histamine 1 Receptor Blockers

Histamine 2 Receptor Blockers

Histamine 2 Receptor Blockers

HMG-CoA Reductase Inhibitors (Statins)

Corticosteroids

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Benzodiazepines

Calcium Channel Blockers

Parasympathomimetics (Cholinergics) Nursing Considerations

Cardiac Glycosides

Autonomic Nervous System (ANS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

ACE (angiotensin-converting enzyme) Inhibitors

Angiotensin Receptor Blockers

Atypical Antipsychotics

Injectable Medications

IV Infusions (Solutions)

Complex Calculations (Dosage Calculations/Med Math)

Renin Angiotensin Aldosterone System

Basics of Calculations

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Oral Medications

The SOCK Method – S

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

Essential NCLEX Meds by Class

6 Rights of Medication Administration

The SOCK Method – Overview

12 Points to Answering Pharmacology Questions

54 Common Medication Prefixes and Suffixes

Betamethasone and Dexamethasone in Pregnancy

Sedatives-Hypnotics

Opioid Analgesics in Pregnancy

Meds for Postpartum Hemorrhage (PPH)

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

Mood Stabilizers

Antianxiety Meds

Magnesium Sulfate (MgSO4) Nursing Considerations

Meperidine (Demerol) Nursing Considerations

Morphine (MS Contin) Nursing Considerations

Phenobarbital (Luminal) Nursing Considerations

Pentobarbital (Nembutal) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

Meropenem (Merrem) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

Norepinephrine (Levophed) Nursing Considerations

Vasopressin (Pitressin) Nursing Considerations

Nitroglycerin (Nitrostat) Nursing Considerations

Nitroprusside (Nitropress) Nursing Considerations

Hydralazine (Apresoline) Nursing Considerations

Methylprednisolone (Solu-Medrol) Nursing Considerations

Fluticasone (Flonase) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Phenazopyridine (Pyridium) Nursing Considerations

Iodine Nursing Considerations

Sympatholytics (Alpha & Beta Blockers)

Oxycodone (OxyContin) Nursing Considerations

Nalbuphine (Nubain) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Butorphanol (Stadol) Nursing Considerations

Oxytocin (Pitocin) Nursing Considerations

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Methylergonovine (Methergine) Nursing Considerations

Terbutaline (Brethine) Nursing Considerations

Naproxen (Aleve) Nursing Considerations

Ketorolac (Toradol) Nursing Considerations

Indomethacin (Indocin) Nursing Considerations

Calcium Acetate (PhosLo) Nursing Considerations

Lithium (Lithonate) Nursing Considerations

Propylthiouracil (PTU) Nursing Considerations

Glucagon (GlucaGen) Nursing Considerations

Pantoprazole (Protonix) Nursing Considerations

Omeprazole (Prilosec) Nursing Considerations

Sucralfate (Carafate) Nursing Considerations

Pancrelipase (Pancreaze) Nursing Considerations

Ondansetron (Zofran) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Loperamide (Imodium) Nursing Considerations

Lactulose (Generlac) Nursing Considerations

Spironolactone (Aldactone) Nursing Considerations

Mannitol (Osmitrol) Nursing Considerations

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Salmeterol (Serevent) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Dopamine (Inotropin) Nursing Considerations

Olanzapine (Zyprexa) Nursing Considerations

Methylphenidate (Concerta) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

Haloperidol (Haldol) Nursing Considerations

Tetracycline (Panmycin) Nursing Considerations

Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations

Amoxicillin (Amoxil) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Levofloxacin (Levaquin) Nursing Considerations

Rifampin (Rifadin) Nursing Considerations

Nystatin (Mycostatin) Nursing Considerations

Isoniazid (Niazid) Nursing Considerations

Metronidazole (Flagyl) Nursing Considerations

Verapamil (Calan) Nursing Considerations

Nifedipine (Procardia) Nursing Considerations

Losartan (Cozaar) Nursing Considerations

Lisinopril (Prinivil) Nursing Considerations

Propranolol (Inderal) Nursing Considerations

Metoprolol (Toprol XL) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Promethazine (Phenergan) Nursing Considerations

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Mixtures (70/30)

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Metformin (Glucophage) Nursing Considerations

Sertraline (Zoloft) Nursing Considerations

Paroxetine (Paxil) Nursing Considerations

Phenytoin (Dilantin) Nursing Considerations

Heparin (Hep-Lock) Nursing Considerations

Lamotrigine (Lamictal) Nursing Considerations

Levetiracetam (Keppra) Nursing Considerations

Streptokinase (Streptase) Nursing Considerations

Procainamide (Pronestyl) Nursing Considerations

Warfarin (Coumadin) Nursing Considerations

Midazolam (Versed) Nursing Considerations

Lorazepam (Ativan) Nursing Considerations

Glipizide (Glucotrol) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Furosemide (Lasix) Nursing Considerations

Gabapentin (Neurontin) Nursing Considerations

Ferrous Sulfate (Iron) Nursing Considerations

Fentanyl (Duragesic) Nursing Considerations

Fluoxetine (Prozac) Nursing Considerations

Famotidine (Pepcid) Nursing Considerations

Escitalopram (Lexapro) Nursing Considerations

Erythromycin (Erythrocin) Nursing Considerations

Epoetin (Epogen) Nursing Considerations

Epinephrine (EpiPen) Nursing Considerations

Enoxaparin (Lovenox) Nursing Considerations

Enalapril (Vasotec) Nursing Considerations

Dobutamine (Dobutrex) Nursing Considerations

Divalproex (Depakote) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Diphenhydramine (Benadryl) Nursing Considerations

Diltiazem (Cardizem) Nursing Considerations

Digoxin (Lanoxin) Nursing Considerations

Diazepam (Valium) Nursing Considerations

Dexamethasone (Decadron) Nursing Considerations

Cyclosporine (Sandimmune) Nursing Considerations

Cortisone (Cortone) Nursing Considerations

Codeine (Paveral) Nursing Considerations

Clopidogrel (Plavix) Nursing Considerations

Clindamycin (Cleocin) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Cimetidine (Tagamet) Nursing Considerations

Chlorpromazine (Thorazine) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Cephalexin (Keflex) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

Cefaclor (Ceclor) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Carbamazepine (Tegretol) Nursing Considerations

Captopril (Capoten) Nursing Considerations

Calcium Carbonate (Tums) Nursing Considerations

Anti-Platelet Aggregate

Buspirone (Buspar) Nursing Considerations

Bupropion (Wellbutrin) Nursing Considerations

Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations

Bisacodyl (Dulcolax) Nursing Considerations

Benztropine (Cogentin) Nursing Considerations

Azithromycin (Zithromax) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Atorvastatin (Lipitor) Nursing Considerations

Atenolol (Tenormin) Nursing Considerations

ASA (Aspirin) Nursing Considerations

Ampicillin (Omnipen) Nursing Considerations

Amlodipine (Norvasc) Nursing Considerations

Amitriptyline (Elavil) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Alteplase (tPA, Activase) Nursing Considerations

Alprazolam (Xanax) Nursing Considerations

Alendronate (Fosamax) Nursing Considerations

Albuterol (Ventolin) Nursing Considerations

Adenosine (Adenocard) Nursing Considerations

Acyclovir (Zovirax) Nursing Considerations

Anti-Infective – Antivirals

Acetaminophen (Tylenol) Nursing Considerations

Anti-Infective – Antifungals

Anti-Infective – Tetracyclines

Anti-Infective – Sulfonamides

Anti-Infective – Fluoroquinolones

Anti-Infective – Macrolides

Anti-Infective – Carbapenems

Anti-Infective – Aminoglycosides

Parasympathomimetics (Cholinergics) Nursing Considerations

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

ACLS (Advanced cardiac life support) Drugs

The SOCK Method – Overview

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

The SOCK Method – S

Complex Calculations (Dosage Calculations/Med Math)

IV Infusions (Solutions)

Injectable Medications

Oral Medications

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Basics of Calculations

Pharmacokinetics

Pharmacodynamics

NG Tube Medication Administration

Disease Specific Medications

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Parasympatholytics (Anticholinergics) Nursing Considerations

Nitro Compounds

Magnesium Sulfate

HMG-CoA Reductase Inhibitors (Statins)

Histamine 2 Receptor Blockers

Histamine 1 Receptor Blockers

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Corticosteroids

Cardiac Glycosides

Calcium Channel Blockers

Benzodiazepines

Autonomic Nervous System (ANS)

Atypical Antipsychotics

Angiotensin Receptor Blockers

ACE (angiotensin-converting enzyme) Inhibitors

Renin Angiotensin Aldosterone System

6 Rights of Medication Administration

Essential NCLEX Meds by Class

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

54 Common Medication Prefixes and Suffixes

12 Points to Answering Pharmacology Questions

Pharmacology Course Introduction