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Cholinergics
NCLEX Review
| Question | Answer |
|---|---|
| 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 |