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Questions and Answers
What is the generic name of the medication?
What is the generic name of the medication?
Which of the following are trade names for dicyclomine? (Select all that apply)
Which of the following are trade names for dicyclomine? (Select all that apply)
What is the therapeutic classification of dicyclomine?
What is the therapeutic classification of dicyclomine?
Antispasmodic
What is the pharmacologic classification of dicyclomine?
What is the pharmacologic classification of dicyclomine?
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What are the indications for dicyclomine?
What are the indications for dicyclomine?
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What are the actions of dicyclomine?
What are the actions of dicyclomine?
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What are the therapeutic effects of dicyclomine?
What are the therapeutic effects of dicyclomine?
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What lab test considerations are associated with dicyclomine?
What lab test considerations are associated with dicyclomine?
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What symptoms may indicate toxicity or overdose of dicyclomine?
What symptoms may indicate toxicity or overdose of dicyclomine?
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Match the adverse reactions with their severity:
Match the adverse reactions with their severity:
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Which of the following are contraindications for dicyclomine? (Select all that apply)
Which of the following are contraindications for dicyclomine? (Select all that apply)
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What nursing implications should be assessed when administering dicyclomine?
What nursing implications should be assessed when administering dicyclomine?
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What client teaching should be provided when prescribing dicyclomine?
What client teaching should be provided when prescribing dicyclomine?
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Study Notes
Dicyclomine (Bentyl) Overview
- Generic Name: Dicyclomine
- Trade Names: Bentyl, Bentylol, Formulex, Protylol
Classification
- Therapeutic Classification: Antispasmodic
- Pharmacologic Classification: Anticholinergics
Indications and Actions
- Indicated for management of Irritable Bowel Syndrome (IBS) in non-responsive patients.
- Acts directly on gastrointestinal (GI) smooth muscle, reducing motility and secretions.
Therapeutic Effects
- Decreases GI motility and relaxes smooth muscle.
- Reduces gastric spasms, aiding in discomfort relief.
Lab Test Considerations
- Discontinue administration 24 hours before testing to avoid conflicting results.
- Can antagonize effects of pentagastrin and histamine during gastric acid secretion tests.
Toxicity and Overdose
- Severe anticholinergic symptoms can be counteracted with physostigmine or neostigmine.
Adverse Reactions and Side Effects
- Life-threatening adverse effects may include:
- GI complications: Paralytic ileus, constipation, heartburn
- Miscellaneous: Anaphylaxis
Contraindications
- Not suitable for patients with hypersensitivity, GI or GU obstructions, reflux esophagitis, severe ulcerative colitis, unstable cardiovascular status, glaucoma, or myasthenia gravis.
- Caution advised for infants under six months, individuals in high-heat environments, and those with hepatic/renal impairment or cardiovascular diseases.
- On Beers list for geriatric patients who have increased sensitivity to anticholinergics.
Nursing Implications
- Assess for IBS symptoms before and after treatment.
- Monitor for abdominal distention and bowel sounds; intervene for constipation by increasing fluid intake.
- Keep track of intake and output ratios as urinary retention may occur.
Client Teaching
- Warn about potential drowsiness and blurred vision.
- Advise staying in temperature-controlled environments due to risk of heat-related systemic confusion.
- Recommend oral hygiene measures to combat dry mouth, such as frequent rinses and sugarless gum.
- Encourage slow position changes to prevent orthostatic hypotension.
- Highlight increased risk of heat stroke due to diminished sweating ability.
- Urge patients to inform healthcare professionals about all medications, including OTC and herbal remedies.
- Advise immediate reporting of eye pain or increased light sensitivity to a healthcare provider.
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Description
Test your knowledge about Dicyclomine, also known as Bentyl, including its therapeutic classifications, indications for use, and key therapeutic effects. This quiz covers crucial aspects of Dicyclomine's effects on the gastrointestinal system and considerations for lab tests. Enhance your understanding of this important medication used for managing Irritable Bowel Syndrome.
