Pyridostigmine Bromide Flashcards
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Questions and Answers

What is the class of pyridostigmine bromide?

  • Beta-blocker
  • Antidepressant
  • Calcium channel blocker
  • AchE inhibitor (correct)
  • What is the mechanism of action (MOA) of pyridostigmine bromide?

    Inhibits the breakdown of acetylcholine in the brainstem, increases acetylcholine.

    What condition is pyridostigmine bromide indicated for?

    Myasthenia gravis

    What are the contraindications for pyridostigmine bromide?

    <p>GI obstruction</p> Signup and view all the answers

    What precautions should be considered when administering pyridostigmine bromide?

    <p>Asthma, peptic ulcer, renal dysfunction, cardiac dysrhythmia, seizure.</p> Signup and view all the answers

    How should pyridostigmine bromide be administered?

    <p>By mouth (PO) and on an empty stomach.</p> Signup and view all the answers

    What are some of the side effects (s/s) of pyridostigmine bromide?

    <p>Seizure, nausea/vomiting, diarrhea, respiratory depression, bronchospasm, cardiac dysrhythmias, bradycardia, orthostatic hypotension, miosis, blurry vision, dyskinesia, diaphoresis, salivation.</p> Signup and view all the answers

    What nursing implications should be considered when giving pyridostigmine bromide?

    <p>Give on time, give on an empty stomach, assess dysphagia, assess vital signs, safety precautions, seizure precautions, avoid other anticholinergic drugs.</p> Signup and view all the answers

    What is the antidote for cholinergic crisis?

    <p>Atropine sulfate.</p> Signup and view all the answers

    Study Notes

    Pyridostigmine Bromide Overview

    • Class: Acetylcholinesterase (AchE) inhibitor
    • Mechanism of Action (MOA): Inhibits breakdown of acetylcholine (Ach), increasing Ach levels in the brainstem
    • Indication (IND): Primarily used for treating Myasthenia gravis

    Contraindications and Cautions

    • Contraindications: Gastrointestinal (GI) or genitourinary (GU) obstruction
    • Cautions: Use with care in patients with asthma, peptic ulcers, renal dysfunction, cardiac dysrhythmia, and seizure disorders

    Pharmacokinetics and Administration

    • Pharmacology: Food intake decreases absorption; administer on an empty stomach
    • Administration route: Oral (PO)

    Side Effects and Symptoms

    • Common side effects:
      • Seizures
      • Nausea and vomiting (N/V)
      • Diarrhea
      • Respiratory depression
      • Bronchospasm
      • Cardiac dysrhythmias
      • Bradycardia
      • Orthostatic hypotension
      • Miosis (constricted pupils)
      • Blurry vision
      • Dyskinesia
      • Diaphoresis (excessive sweating)
      • Increased salivation

    Nursing Implications

    • Ensure medication is administered punctually
    • Administer on an empty stomach to maximize absorption
    • Assess for swallowing difficulties (dysphagia)
    • Monitor vital signs (VS)
    • Implement safety precautions to prevent falls
    • Seizure precautions are essential
    • Avoid co-administration with other anticholinergic drugs

    Antidote for Cholinergic Crisis

    • Antidote: Atropine sulfate used to counteract overdoses or severe side effects of cholinergic agents

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    Description

    Test your knowledge on pyridostigmine bromide with these flashcards. Learn about its class, mechanism of action, indications, contraindications, and precautions. Perfect for students and healthcare professionals interested in pharmacology.

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