URDANETA CITY

UNIVERSITY
Owned and operated by the City Government of Urdaneta COLLEGE OF HEALTH SCIENCES

DRUG NAME DOSAGE/ INDICATIONS/ SIDE EFFECTS ADVERSE MIDWIFE’S RESPONSIBILITY

ROUTE/ USES EFFECTS
(Generic Name/ FREQUENCY
Brand name, Local PRE-ADMINISTRATION INTRA-ADMINISTRATION POST-ADMINISTRATION
Market Price)

INDICATIONS:
Generic Name: Dosage: - Dryness of the mouth, with CNC: Dizziness,anaphylactic Dx: Dx: Dx:
Hyoscine 20 mg Buscopan Tablets are difficulty in swallowing reactions, anaphylactic shock,
N-Butylbromide indicated for the relief of - Thirst increased ICP, disorientation, - Determine the patient’s - Before giving the medication, - Assess knowledge/teach
Route: spasm of genito-urinary - Dilation of the pupils with restlessness, irritability, name for IV administration. double-check the patient’s patients the appropriate use,
tract or gastrointestinal tract loss of accommodation and drowsiness, headache, name. interventions to reduce side
Brand Name: 1 ampoule and for the symptomatic photophobia confusion, hallucination, - Check for any allergies in effects, and adverse
Buscopan (20 mg) IV relief of irritable Bowel - Increased intra-ocular delirium, impaired memory the patient. - When providing medication, symptoms to report.
Syndrome pressure keep a close eye on the patient
Frequency: - Spasm in the military tract - Flushing and dryness of the CV: Hypotension, - If particle material or to verify that the drug was - Monitor for effectiveness as
Local Market Once - Spasm in the skin tachycardia, discoloration is found in the consumed and not hoarded or exhibited by decrease in
Price: ₱29.25 genitourinary tract - Bradycardia followed by palpitations, flushing vial, do not use it. cheeked. symptoms.
- Spasm in the tachycardia, with
gastrointestinal palpitations and arrhythmias GI: Dry mouth, constipation, - Measure the patient’s - Assess for urinary hesitancy - Monitor side effects.
trac - Urinary urgency with the nausea, epigastric distress weight before and after - Assess constipation
- Colic inability to do so, as well as starting Hyoscine N- - Monitor cervical effacement - Monitor blood pressure for
reduction in the tone and DERM: Flushing, butylbromide treatment to and dilation. possible hypertension.
CONTRAINDICATIONS motility of the dyshidrosis keep track of fluid loss.
gastrointestinal tract, leading
Buscopan Tablets should to constipation. GU: Urinary retention, Tx: Tx: Tx:
not be administered to - Occasionally vomiting, urinary Hesitancy
patients with myasthenia dizziness and staggering - Introduce yourself and - Examine the patient’s mouth - Remember that a lot of these
gravis, megacolon prostate may Occur RESP: Dyspnea, bronchial establish a good rapport to ensure that the medicine was drugs can cause dizziness in
hypertrophy with urinary - Retrosternal pain may plugging, depressed within the patient. ingested. the first few weeks of taking,
retention, narrow angle occur due to increased respiration - Stay with the patient to so take safe precautions.
glaucoma mechanical gastric re-flux - Before delivering the observe whether the medication - Provide safety measures (e.g.
stenosis in the GI tract, and - Trouble breathing, EENT: Mydriasis, dilated medication, do a has any acute side effects. adequate lighting, raised side
tachycardia. In addition, increased pulse. pupils, blurred vision, comprehensive physical - Before and often throughout rails etc.) to prevent injuries.
they should not be given to - Diarrhea photophobia, increased examination to collect dosage adjustment, blood - Provide comfort measures
patients with a known - Vision problems, eye pain. intraocular pressure, difficulty baseline data and analyze any pressure (sitting, standing, and (e.g. voiding before dosing.
hypersensitivity to of swallowing. potential side effects. laying), ECG, pulse, and Takingfood with drugs, etc.) to
hyoscine-N-butylbromide respiration rate were all help patients tolerate drug
or any other component of monitored. effects.
the product.

(075) 600 - 1507

San Vicente West, Urdaneta City, Pangasinan
Bright future starts ucu.edu.ph | ucuosas@gmail.com
 URDANETA CITY
UNIVERSITY
Owned and operated by the City Government of Urdaneta COLLEGE OF HEALTH SCIENCES

DRUG MECHANISM PREGNANCY RISK EFFECT ON EFFECT ON LACTATION

CLASSIFICATION OF ACTION CATEGORY PREGNANCY Edx: Edx: Edx:
Pregnancy Category C
The mechanism of The effect on pregnancy is There is insufficient - Inform the parents and - Tell the patient to take a drug - Instruct discontinuation of
Therapeutic guardians about the drug’s with a full glass of water and medication if adverse effects
Classification: action of Buscopan Animal reproduction that there is limited data on information on the excretion
is that it blocks the the use of Hyoscine N- of Hyoscine N-Butylbromide adverse effects. not to break, chew or crush the occur.
studies
muscarinic Butylbromide in pregnant and its metabolites in human capsule or tablet.
have shown an adverse
receptor found on women. However, its use is milk. A risk to the - Educate the patient about - Advice patients to avoid
effect on
Antipasmodic the smooth muscle the fetus and there are no recommended with caution breastfeeding child cannot be the - Encourage the patient to avoid alcohol
wall which means under the first trimester. side excluded. Use of Hyoscine N- medication’s intended use. it. intake.
adequate and well
it blocks the controlled studies in effects include: dry mouth, Butylbromide during
Action of facial flushing, intermittent breastfeeding is not - Encourage the patient to - Instruct patients to verbalize
humans, but potential
acetylcholine on loss of accommodation recommended. verbalize feelings of feelings and concerns.
benefits may warrant use of
the receptors found reflexes, urinary retention tenderness or pain.
Pharmacologic the drug in pregnant women
Classification: within the smooth despite and constipation. But as a
muscle of the potential risks. precautionary measure,
gastrointestinal and Hyoscine N-Butylbromide is
urinary tract and not recommended during
Anticholinergic thus pregnancy.
reduces the spasms
and contractions.
This relaxes the
muscle and thus
reduces the pain
from the cramps
and spasms.

NAME OF STUDENT: WACGUISAN, KARYLLE JOY D. RATING: _______________ CLINICAL INSTRUCTOR: MALARRI, NICOLE DANIELLE P.

(075) 600 - 1507

San Vicente West, Urdaneta City, Pangasinan
Bright future starts ucu.edu.ph | ucuosas@gmail.com