Nursing Considerations Cont Post Administration Care Assess VS skin

Nursing considerations cont post administration care

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Nursing Considerations Cont. Post Administration Care Assess-VS, skin color/lesions, lung sounds, bowel sounds, urinary output, vision Labs-LF, Kidney, CBC LOC-orientation, reflexes, thought processes Safety- environmental control, aid orientation Patient teaching-AE, Safety, take medications at same time each day, Avoid multi-vitamins, Taper drug off, periodic monitoring and evaluation (decrease symptoms- handwriting), caution with extreme environment Things to remember-Give drug with food to decrease GI upset, Discontinuing & Overdose/Toxicity-Taper drugs when DC
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Copyright © 2017 Wolters Kluwer • All Rights Reserved QuestionQuestionPlease answer the following statement as true or false.While caring for a patient with Parkinson’s disease the nurse would encourage the patient to take care of him/herself as long as possible.
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Copyright © 2017 Wolters Kluwer • All Rights Reserved
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Anticholinergics Used to Treat Parkinson’ s Disease Anticholinergics Used to Treat Parkinson’ s Disease Benztropine ( Cogentin ) Biperiden ( Akineton ) Diphenhydramine ( Benadryl ) Procyclidine ( Kemadrin ) Trihexyphenidyl ( Artane )
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Anticholinergics Anticholinergics Actions Block the action of acetylcholine in the CNS to help normalize the acetylcholine-dopamine imbalance Indications Treatment of parkinsonism-prescribed when Levodopa doesn’t decrease symptoms enough Relief of extrapyramidal symptoms, used as adjunct Pharmacokinetics Absorbed from GI tract Peak 1-4 hours Metabolized in the liver, excreted by cellular pathways Crosses the placenta and enters the breast milk
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Anticholinergics (cont.) Anticholinergics (cont.) Contraindications Known allergy Narrow angle glaucoma GI obstruction GU obstruction Prostatic hypertrophy Cautions Dysrhythmias Hypertension Hypotension Hepatic dysfunction Pregnancy and lactation
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Anticholinergics (cont.) Anticholinergics (cont.) Adverse Reactions Disorientation Confusion Agitation Delirium Nausea, vomiting, paralytic ileus Drug-to-Drug Interactions Tricyclic antidepressants & Phenothiazines -> increase risk paralytic ileus and substance-toxic psychosis
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Anticholinergics Prototype Anticholinergics
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for Anticholinergics and Antiparkinsonism Drugs Anticholinergics and Antiparkinsonism Drugs Assess before Administration:
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