Indications
Treatment for overactive bladder
Oxybutin
brown discoloration of urine, hypokalemia
Senna
contraindicated with CDAD
diphenoxylate/ atropine
Older adults are at risk for what bowel alterations and why?
What is chronic constipation; muscle atrophy and reduced mucous secretion
increase risk of hypotension with concurrent use of sildenafil
tamsulosin or doxasin
Inhibits excess GI motility related to opioid analgesics without analgesic properties
Diphenoxylate with atropine
hyperlipidemia, hypotension
Propofol
Mix with a full glass of water or juice (8 oz) followed by an additional glass of liquid. Solution should be taken immediately after mixing
psyllium mucilloid
Liquids whose potent vapors when inhaled produce general anesthesia.
isoflurane (halothane, desflurane, sevoflurane)
discontinue St. John's wort 2-3 weeks prior to surgery due to hypotension with this inhaled general anesthetic
Isoflurane
This most widely used anesthetic agent is used as an induction agent for adults intravenously
Propofol (diprivan)
abdominal cramps, diarrhea, hypokalemia with chronic use
bisacodyl
adjuncts to anesthesia and why
Anticholinergics (atropine)
Sedative-hypnotics (midazolam)
Opioids
Non-pharmacological treatment for urinary retention
Urinary catheterization
Used to reduce secretions
Anticholinergic medications (atropine)
Used to avoid straining during bowel movement (valsalva maneuver) in patients with history of cardiac disease
docusate sodium
Hearing loss, tinnitus
Bismuth salts (aka Pepto-Bismol)
Administer daily dose 30 minutes after the same meal each day. Swallow capsules whole; do not open, crush or shew
tamsulosin
These trigger MH
succinylcholine, isoflurane
Avoid concurrent use with donepezil
WHY?
bethanechol chloride
due to additive effects or increase toxicity (excessive salivation, flushing, diaphoresis, nausea, vomiting)
BPH; may be used concurrent with doxazosin
finasteride
First dose orthostatic hypotension
doxazosin (also tamsulosin)
Dantrolene
Naloxone
flumazenil
reversal agents
Nerve plexus block, bier block, spina and epidural are this types of anesthesia
Regional
High fiber, fluids, pelvic floor exercises and exercise
Non-pharm treatments for bowel incontinence and retention (constipation)