Cheatography
https://cheatography.com
Oral Anticholinergic
Prototype Med |
Oxybutynin Chloride |
Other Med |
Ditropan |
Therapeutic Use
Treatment of urinary urge incontinence caused by overactive bladder |
Treatment of neurogenic bladder |
Adverse Drug Reactions
Dry mouth |
Constipation |
Urinary retention |
Mydriasis (pupil dilation), dry eyes, blurred vision |
Headache |
Dizziness, drowsiness |
Fever, heat exhaustion |
Nursing Interventions
Monitor for anticholinergic effects. |
Monitor bowel elimination patterns. |
Monitor urinary elimination patterns, especially in older adults. |
Recommend periodic eye examinations |
Monitor for headache |
Monitor for dizziness and somnolence. |
Advise clients to use caution in hot weather, as the drug suppresses sweating. |
Administration
Take orally (either short-acting syrup or tablets) two to four times a day. |
Take the extended-release (ER) tablets once a day. |
Swallow ER tablets whole; do not crush or chew them. |
Expect excretion of the insoluble shell of the ER tablets in stool. |
Apply the transdermal patch twice a week to dry and intact skin on the abdomen, hip, or buttocks. |
Rotate patch adhesion sites. |
Contraindications
Angle-closure glaucoma |
Myasthenia gravis |
Gastrointestinal obstruction/Genitourinary obstruction |
Active cardiac dysfunction |
Precautions
Urinary tract infection/Liver or renal disease |
Hiatal hernia with reflux |
Hyperthyroidism/Hypertension |
Benign prostatic hypertrophy |
Autonomic hypertrophy |
|
|
Patient Education
Suck on hard candy/Sip water |
Increase fluid and fiber intake and activity levels |
Report any undesirable changes in urinary elimination (retention, infec- tion). |
Use over-the-counter lubricating eye drops. |
Obtain regular eye examinations (potential for glaucoma). |
Report headache not relieved by over-the-counter analgesics. |
Report dizziness or fainting. |
Do not engage in dangerous activities if dizziness occurs or tends to recur. |
Avoid becoming overheated. |
Seek medical attention for fever and signs of heat exhaustion (muscle cramps, dizziness, nausea, vomiting). |
Interactions
CYP3A4 inhibitors (grapefruit juice, ketoconazole, erythromycin, itracon- azole [Sporanox], plus others) may increase toxicity. |
CYP3A4 inducers (phenytoin [Dilantin], rifampin [Rifadin], carbamaze- pine [Tegretol], plus others) decrease effectiveness. |
|
Created By
Metadata
Comments
No comments yet. Add yours below!
Add a Comment
Related Cheat Sheets
More Cheat Sheets by Drosario19