Pharmacology III
Bethanechol
Cholinergic Agonist
bethanechol- Urecholine
bethanechol- Urecholine Treatment
Post op and postpartum urinary retention and neurogenic atony of the bladder with urinary retention.
bethanechol- Urecholine Signs and Symptoms
Headache, malaise, bradycardia, profound hypotension with reflexive tachycardia, flushing, lacrimation, miosis, abdominal cramps, diarrhea, excessive salivation, nausea, belching, urinary urgency, bronchoconstriction, increased bronchial secretions and diaphoresis.
Epoetin
Hematopetic, stimulates production of red blood cells(RBCs); indications include anemia related to chronic renal disease or AIDS or cancer, also to reduce need for alogenic blood transfusions in surgical clients;
side effects, headache, seizures, fatigue, hypertension, nausea, vomiting, diarrhea, iron deficiency, clotting of AV graft if dialysis access line being used;
nursing considerations; seizure precautions, monitor complete of blood count and serum iron and blood pressure, gently mix, do not shake medication solution, use only 1 dose per vial, do not give with any other solution.
Rh o (D) immune Globulin
Hormone and synthetic substitute, immune globulin;use promote lysis of fetal Rh positive red blood cells (RBCs) circulating in maternal bloodstream before Rh negative mother develops her own antibodies to them; thereby prevents isoimmunization, which otherwise could result in hemolytic disease of the newborn (erythroblastosis fetalis) affecting subsequent pregnancies; administered whenever maternal and fetal blood intermingling hemorrhage possible (if mother is Rh negative father is Rh positive such as aminocentesis or other trauma fetomaternal hemorrhage, full term delivery, miscarriage abortion, ectopic pregnancy, side effects: injection site discomfort, low fever, lethargy, myalgia; nursing considerations: immediately after delivery send sample of cord blood of infant to lab for crossmatch and typing and do not administer Rh o (D) immune globulin until results return, administer within 72 hours after delivery, ensure that mother understands reason Rho (D) immune globulin is given
Cyclophosphamide
Alkylating agent use: cancer, action: interferes with RNA replication, causing...