Drug Buscopan

Classification Antispasmodic; Anticholinergic

Indication

Contraindication

Side effect/ Adverse Effect

Nursing Responsibilities

For the relief of spasm of the genito-urinary tract or gastro intestinal tract and for the symptomatic relief of Irritable Bowel Syndrome

- myasthenia gravis, megacolon and narrow angle glaucoma. - hypersensitivity to hyoscine-Nbutylbromide

CNS: dizziness, anaphylactic shock, restlessness, irritability, drowsiness CV: hypotension, tachycardia, palpitations, flushing GI: dry mouth, constipation,

Drug compatibility should be monitored closely in patients requiring adjunctive therapy. Avoid strict heat Raise side rails as a precaution because some patients become temporarily excited or disoriented and some develop amnesia or become drowsy. Overdose may cause curarelike effects, such as respiratory paralysis. Keep emergency

equipment available
Methergine Oxytoxic

Routine management after delivery of the placenta. Treatment of postpartum atony and hemorrhage; subinvolution of the uterus.

- allergy to methylergonovine, hypertension, lactation, pregnancy

CNS: dizziness, headache, tinnitus, diaphoresis CV: transient hypertension, palpitations, headache, dyspnea GI: nausea and vomiting

Assess history of allergy to drug. Administer by IM injection or orally unless emergency requires IV use. Complications are more frequent with IV use. Monitor postpartum women for BP changes and amount and character of vaginal bleeding. Teach client to report difficulty breathing, headache, numb or cold extremities, severe abdominal cramping. Avoid prolonged use of the drug.

Nifedipine

Calcium channel blocker

Vasospastic angina, Hypertension

- Hypersensitivity to drug

CNS: dizziness, headache, weakness, flushing, nausea, nervousness, hypotension, palpitations, diarrhea, constipation

Monitor BP carefully during titration period. Patient may become severely hypotensive, especially if also taking other drugs known to lower BP. Withhold drug and notify physician if systolic BP <90. Be aware that withdrawal symptoms may occur with abrupt discontinuation of the drug (chest pain, increase in anginal episodes, MI, dysrhythmias). Do not breast feed while taking this drug without consulting physician. Inspect gums visually every

day. Changes in gingivae may be gradual, and bleeding may be exhibited only with probing.