RN ATI Capstone Pharmacology EXAM 2 STUDY GUIDE LATEST UPDATE 2021/2022

RN ATI Capstone Pharmacology EXAM 2
STUDY GUIDE LATEST UPDATE 2021/2022




RN ATI Capstone Pharmacology 2
2016 Pharmacological and
Parenteral Therapies
*Miscellaneous Central Nervous System Medications: Treatment for Urinary
Retention


Contradictions/Precautions
Contraindicated in clients who have urinary or gastrointestinal obstruction, peptic
ulcer disease, coronary insufficiency, asthma and hyperthyroidism.




• Bethanechol, a muscarinic agonist, is used for urinary retention.

• Acetylcholine

• Cevimeline

• Pilocarpine

•
Therapeutic Uses
• Nonobstructive urinary retention, usually postoperatively or


RN ATI Capstone Pharmacology EXAM 2
STUDY GUIDE LATEST UPDATE 2021/2022

, RN ATI Capstone Pharmacology EXAM 2
STUDY GUIDE LATEST UPDATE 2021/2022
postpartum Nursing Considerations
• Instruct clients to report adverse effects if they occur.

• Monitor for bradycardia and hypotension.

• Administer on an empty stomach to reduce effects.

*Complications: Gastric acid secretion, abdominal cramps, diarrhea, sweating,
tearing, urinary urgency, bradycardia and hypotension; bronchoconstriction.


Nursing Administration
• Administer by oral route, 1 hr. before or 2 hr. after meals to

minimize nausea and vomiting.
• Monitor I&O



*Eye and Ear Disorders: Adverse Effects of Beta-Adrenergic Blockers
Glaucoma is a frequent cause of blindness. Damage to the optic nerve occurs when
aqueous humor does not exit from the anterior chamber of the eye. This results in
the buildup of aqueous humor, increased intraocular pressure (IOP), and loss of
vision


Non-selective Beta-Adrenergic Blockers (Both beta1and beta 2 properties)
• Timolol

• Carteolol

• Metipranolol

• Levobunolo



RN ATI Capstone Pharmacology EXAM 2
STUDY GUIDE LATEST UPDATE 2021/2022