DRUG NAME MECHANISM OF INDICATION / ADVERSE EFFECT NURSING

ACTION CONTRAINDICATION RESPONSIBILITIES

GENERIC: INDICATIONs: CNS: BEFORE:

HYOSCINE – N – The mechanism of The relief of smooth Dizziness, anaphylactic Dx:
BUTYLBROMIDE action of Buscopan muscle reactions, anaphylactic a. Assess history of
is that it blocks the spasm/cramping of the shock, increased ICP, allergies.
BRAND: muscarinic gastrointestinal system b. Monitor older
BUSCOPAN receptors found on and its associated pain disorientation, restlessness, adults for fluid
the smooth muscle and discomfort. irritability, drowsiness, and sodium
CLASS: walls which means headache imbalances.
its blocks the action CONTRAINDICATION: Tx:
ANTISPASMODICS of acetylcholine on Hypersensitivity to GI: a. Perform a
the receptors found hyoscine butylbromide, Xerostomia thorough physical
DOSAGE: within the smooth atropinics or to any of assessment to
2 mg./ ampules muscle of the the product excipients. DERM: establish baseline
gastrointestinal and It is contraindicated in Flushing, Dyshidrosis data before drug
ROUTE: urinary tract and patients with therapy begins, to
ORAL thus reduces the myasthenia gravis, determine the
spasms and megacolon, glaucoma effectiveness of
contractions. This or obstructive prostatic therapy, and to
relaxes the muscle hypertrophy. evaluate for the
and thus reduced occurrence of
the pain from the any adverse
cramps and effects associated
spasms. with drug therapy.
EDx:
a. Educate patient
regarding desired
and adverse
effects.

DURING:
Dx:
a. Asses mental
 status for
worsening of
depression,
anxiety, social
functioning,
confusion and
nervousness
b. Monitor mood
changes.
c. Monitor for other
adverse effects.
Tx:
a. Give drug with
food, milk or
antacids.
b. Do no increase or
double the dose,
follow exactly as
prescribed and
indicated.
c. Administer a
major portion of
dose at bedtime
as ordered if
drowsiness and
anticholinergic
effect are severe
to decrease the
risk of patient
injury.
EDx:
a. Tell patient to
take the drug with
full glass of water
and do not break,
chew or crush
 capsule and
tablet.

AFTER:
Dx:
a. Assess
knowledge/teach
patient
appropriate use,
interventions to
reduce side
effects, and
adverse
symptoms to
report.
b. Monitor for
effectiveness as
exhibited by a
decrease in
symptoms.
c. Monitor for side
effects.
Tx:
a. Remember that a
lot of these drugs
can cause
dizziness in the first
few weeks of
taking so take
safety
precautions.
b. Provide safety
measures (e.g.
adequate
lighting, raised
side rails, etc.) to
 prevent injuries.
c. Provide comfort
measures (e.g.
voiding before
dosing, taking
food with drug,
etc.) to help
patient tolerate
drug effects.
EDx:
a. Instruct
discontinuation of
medication if
adverse effect
occurs
b. Advise patient to
avoid alcohol
intake.
c. Instruct patient to
verbalize feelings
and concerns.