Podcast
Questions and Answers
What is Bethanechol indicated for?
What is Bethanechol indicated for?
- Urinary incontinence
- Urinary retention (correct)
- Diarrhea
- Constipation
Which of the following is a potential contraindication for using Bethanechol?
Which of the following is a potential contraindication for using Bethanechol?
- Hyperthyroidism (correct)
- Hypertension
- Hypotension
- Headache
What is a common adverse effect associated with Bethanechol?
What is a common adverse effect associated with Bethanechol?
- Improved vision
- Increased blood pressure
- Euphoria
- Syncope (correct)
Darifenacin is used for what indication?
Darifenacin is used for what indication?
What is a contraindication when using Darifenacin?
What is a contraindication when using Darifenacin?
What is a common adverse effect of Darifenacin?
What is a common adverse effect of Darifenacin?
What is indicated when using a Urinary Track Analgesic?
What is indicated when using a Urinary Track Analgesic?
What color can the urine turn when taking a urinary tract analgesic?
What color can the urine turn when taking a urinary tract analgesic?
What condition would indicate using anti-diarrheal medications?
What condition would indicate using anti-diarrheal medications?
What condition can be a contraindication when using anti-diarrheal medications?
What condition can be a contraindication when using anti-diarrheal medications?
What is a common adverse effect when using anti-diarrheal medications?
What is a common adverse effect when using anti-diarrheal medications?
What is generally indicated for the use of laxatives?
What is generally indicated for the use of laxatives?
What condition would be a contraindication when using laxatives?
What condition would be a contraindication when using laxatives?
What is an adverse effect of using stimulant laxatives?
What is an adverse effect of using stimulant laxatives?
Why should patients increase fluids and mobility when constipated?
Why should patients increase fluids and mobility when constipated?
What kind of drink acts like fiber when consumed?
What kind of drink acts like fiber when consumed?
Which condition would cause you to monitor for dehydration?
Which condition would cause you to monitor for dehydration?
Which of the following is a bulk forming agent?
Which of the following is a bulk forming agent?
What should patients do while taking bulk forming agents?
What should patients do while taking bulk forming agents?
What should you monitor when using saline laxatives?
What should you monitor when using saline laxatives?
Flashcards
Bethanechol
Bethanechol
A cholinergic agonist used for urinary retention, increasing muscle tone in the GI tract, and treating heartburn.
Bethanechol contraindications
Bethanechol contraindications
Conditions where Bethanechol (a cholinergic agonist) is contraindicated.
Bethanechol adverse effects
Bethanechol adverse effects
Adverse effects of Bethanechol, including decreased blood pressure and bronchoconstriction.
Oxybutynin
Oxybutynin
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Oxybutynin contraindications
Oxybutynin contraindications
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Oxybutynin Side Effect
Oxybutynin Side Effect
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Dry mouth treatment
Dry mouth treatment
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Urinary Analgesic
Urinary Analgesic
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Bright Orange Urine
Bright Orange Urine
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Peramide
Peramide
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Bulk-forming laxatives
Bulk-forming laxatives
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Saline Laxatives
Saline Laxatives
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Fluids for Bulk Forming medicine
Fluids for Bulk Forming medicine
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Stimulant side effects
Stimulant side effects
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Study Notes
Urinary & Bowel Medications
Colinergic Agonist
- Drug: Bethanechol
- Indications: Urinary Retention, muscle tone in GI, heartburn
- Contraindications: Hyperthyroidism, asthma, CAD, epilepsy, Parkinson's, PUDI, bowel obstruction
- Adverse effects: Decreased BP, syncope, asthma attack, bronchoconstriction, overdose, increased heart rate and BP, respiratory depression, bronchospasm, headache, dizziness
- Note: Antidote - Atropine
Anti-colinergic
- Drugs: Darifenacin, oxybutynin, tolterodine
- Indications: Urge to void, urinary incontinence, urgency, neurogenic bladder
- Contraindications: Glaucoma, urinary retention, BPH
- Adverse effects: Blurred vision, urinary retention, constipation, dry mouth
- Note: Pilocarpine can treat glaucoma, perform oral care twice a day and take fluids, use sugar free hard candy or gum
Urinary Analgesic
- Drugs: Phenazopyridine
- Indications: UTI, pain, frequency, urgency
- Adverse effects: Bright orange urine, don't break, chew, or crush
Anti-Diarrheals
- Drugs: Diphenoxylate w/ atropine and loperamide, also bismuth subsalicylate
- Indications: Diarrhea
- Contraindications: C. Diff, infectious diarrhea
- Adverse effects: Bismuth subsalicylate can cause reye's syndrome, dark tongue, and bleeding, contact provider for prolonged or worse diarrhea, fever, bloody stools, and monitor for dehydration
Laxatives
- Types: Bulk forming (psyllium methyl-cellulose), emollient/stool softener (docusate, mineral oil), hyperosmotic (lactulose, polyethylene glycol, sorbitol, glycerin), saline (magnesium salts, fleet enema), stimulant (bisacodyl, senna), opioid antagonist (methylnaltrexone, alvimopan)
- Indications: Constipation
- Contraindications: Fecal impaction, intestinal obstruction, undiagnosed abdominal pain, saline use in renal disease
- Adverse effects: Impaction, obstruction, abdominal discomfort and cramping, magnesium salts cause electrolyte imbalance
- Note: Interferes with the absorption of other medications, increase fluids and mobility, take with 8oz of water for bulk forming, safe for long term use as long as taken with fiber, electrolyte supplements for hyperosmotic risk, dependence likely for stimulants
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