cholinergic drugs

pyridostigmine is prescribed for a client with myasthenia gravis. why would the nurse instruct the client to take pyridostigmine about 1 hour before meals?

taking it before meals improves the ability to chew! to promote chewing and swallowing and prevent aspiration.

pyridostigmine bromide is prescribed for a client with myasthenia gravis. the nurse evaluates that the medication regimen is understood when the client makes which statement?

'i need to set an alarm so i take the medication on time' pyridostigmine is a vital medication that must be taken on time; a missed or late dose can result in severe respiratory and neuromuscular consequences or even death.

cholinergic agonists are prescribed for which type of urinary condition?

... urine retention

the HCP prescribes a cholinergic medication to treat a client's urinary problem. which effect would the nurse anticipate? a. urinary retention is prevented b. pain is controlled c. urinary frequency decreases d. urinary urgency decreases

b. urinary retention is prevented cholinergics intensify and prolong the action of acetylcholine, which increases tone in the GI tract, preventing urinary retention. cholinergic antagonists are prescribed for frequency and urgency associated with a spastic bladder; therefore cholinergics would worsen rather decrease these problems.

a client with myasthenia gravis is receiving pyridostigmine bromide to control symptoms. recently, the client has begun experiencing increased difficulty in swallowing. which nursing action is effective in preventing aspiration of food?

coordinate mealtimes with the peak effect of the medication. dysphagia should be minimized during peak effect of pyridostigmine, thereby decreasing the probability of aspiration.

a client presents to the clinic for a follow-up appointment after starting pyridostigmine for management of myasthenia gravis. which new client problems are adverse effects of pyridostigmine?

increased urinary frequency; muscle twitching; diarrhea. pyridostigmine is an acetylcholinesterase inhibitor. by inhibiting the enzyme that breaks down acetylcholine, it increases cholinergic activity. the increased cholinergic activity is responsible for the most common adverse effects of pyridostigmine such as diarrhea and increased urinary frequency as well as muscle twitching.

a client with myasthenia gravis begins taking pyridostigmine. 2 days later, the client develops loose stools and increased salivation. which conclusion would the nurse make about these new developments?

this medication is causing cholinergic side effects. because this medication inhibits the destruction of acetylcholine, parasympathetic activity may increase, resulting in cholinergic side effects such as diarrhea and increased salivation.