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Cholinergics

NCLEX Review

QuestionAnswer
Neostigmine (Prostigmin) Antimyasthnics
Adverse Effects bronchospasm, excess secretions, bradycardia, hypotension, diarrhea, salivation, nausea, vomiting, sweating
Nursing Implications Symptoms of overdose within one hr, weakness, dyspnea, dysphagia, Give with food or milk, give 30 minutes before meals to help swallow,
Myasthenic crisis Took dose late, low blood levels
Cholinergic crisis took dose early, blood levels too high
Effectiveness of therapy Relief of ptosis, diplopia, improved chewing, swallowing, extremity stregthen, breathing
Action Inhibits the breakdown of acetylchokine so that it accumulates and has a prolonged effect
Effects of cholinergics miosis, increased intestinal and skeletal muscle tone, bronchial and ureteral constriction, bradycardia, increased salivation, lacrimation, and sweating
Created by: schizonurse
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