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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Concepts Covered:
- Suffixes
- Concepts of Pharmacology
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- Med Term Basic
- Prefixes
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- Bipolar Disorders
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- Medication Administration
- Learning Pharmacology
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- Terminology
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Study Plan Lessons
Medical Terminology Course Introduction
Pharmacology Course Introduction
12 Points to Answering Pharmacology Questions
12 Points to Answering Pharmacology Questions
01.01 CCRN Test Overview for CCRN Review
MedTerm Basic Word Structure
54 Common Medication Prefixes and Suffixes
54 Common Medication Prefixes and Suffixes
MedTerm Body as a Whole
MedTerm Suffixes
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Essential NCLEX Meds by Class
Essential NCLEX Meds by Class
MedTerm Prefixes
6 Rights of Medication Administration
6 Rights of Medication Administration
Pharmacodynamics
Pharmacokinetics
The SOCK Method – Overview
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – S
The SOCK Method – O
The SOCK Method – O
The SOCK Method – C
The SOCK Method – C
The SOCK Method – K
The SOCK Method – K
Basics of Calculations
Basics of Calculations
02.01 Hypertensive Crisis for CCRN Review
Neuro Terminology
Cardiac Terminology
02.02 Cardiomyopathy for CCRN Review
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Oral Medications
Oral Medications
Respiratory Terminology
02.03 Swan-Ganz Catheters for CCRN Review
Digestive Terminology
Injectable Medications
Injectable Medications
02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review
02.05 Calculating PAWP on PEEP for CCRN Review
IV Infusions (Solutions)
IV Infusions (Solutions)
Urinary Terminology
Complex Calculations (Dosage Calculations/Med Math)
Complex Calculations (Dosage Calculations/Med Math)
02.06 Heart Murmurs for CCRN Review
Reproductive Terminology
Interactive Pharmacology Practice
Musculoskeletal Terminology
02.07 Reading “A, C, V Waves” & PAWP Waveforms for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
Interactive Practice Drip Calculations
Metabolic & Endocrine Terminology
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
Hematology Oncology & Immunology Terminology
Pediatric Dosage Calculations
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
Integumentary (Skin) Terminology
02.11 12 Lead EKG- Injuries for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
02.14 Shock Stages for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.17 Septic Shock for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
Disease Specific Medications
Sensory Terminology
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
Pharmacology Terminology
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Psychiatry Terminology
Diagnostics Terminology
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03.05 Endocrine Practice Questions for CCRN Review
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NG Tube Medication Administration
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Thrombin Inhibitors
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07.05 Supratentorial Herniation: Cushings Triad for CCRN Review
07.06 Increased Intracranial Pressure (ICP) for CCRN Review
07.07 Cerebral Perfusion Pressure for CCRN Review
07.08 Basilar Skull Fracture for CCRN Review
07.09 Meningitis for CCRN Review
07.10 Neurologic Review questions for CCRN Review
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08.01 Psychological Review for CCRN Review
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Insulin – Mixtures (70/30)
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Histamine 1 Receptor Blockers
Histamine 1 Receptor Blockers
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Histamine 2 Receptor Blockers
10.04 Pulmonary Question Review for CCRN Review
Renin Angiotensin Aldosterone System
Renin Angiotensin Aldosterone System
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Atypical Antipsychotics
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Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Parasympathomimetics (Cholinergics) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
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Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
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ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Acetaminophen (Tylenol) Nursing Considerations
Acyclovir (Zovirax) Nursing Considerations
Adenosine (Adenocard) Nursing Considerations
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Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations
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Hepatitis B Vaccine for Newborns
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Hydromorphone (Dilaudid) Nursing Considerations
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Losartan (Cozaar) Nursing Considerations
Magnesium Sulfate (MgSO4) Nursing Considerations
Mannitol (Osmitrol) Nursing Considerations
Meperidine (Demerol) Nursing Considerations
Meropenem (Merrem) Nursing Considerations
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
Metformin (Glucophage) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Methylphenidate (Concerta) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Metronidazole (Flagyl) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Nalbuphine (Nubain) Nursing Considerations
Naproxen (Aleve) Nursing Considerations
Neostigmine (Prostigmin) Nursing Considerations
Nifedipine (Procardia) Nursing Considerations
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
Nystatin (Mycostatin) Nursing Considerations
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Propylthiouracil (PTU) Nursing Considerations
Proton Pump Inhibitors
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
Rifampin (Rifadin) Nursing Considerations
ROME – ABG (Arterial Blood Gas) Interpretation
Salmeterol (Serevent) Nursing Considerations
Selegiline (Eldepyrl) Nursing Considerations
Sertraline (Zoloft) Nursing Considerations
Spironolactone (Aldactone) Nursing Considerations
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Terbutaline (Brethine) Nursing Considerations
Tetracycline (Panmycin) Nursing Considerations
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
Vancomycin (Vancocin) Nursing Considerations
Vasopressin (Pitressin) Nursing Considerations
Verapamil (Calan) Nursing Considerations
Warfarin (Coumadin) Nursing Considerations