Pharmacology - BPH, Bladder control, Urinary meds for nursing RN PN NCLEX

Simple Nursing
11 Apr 202114:53
EducationalLearning
32 Likes 10 Comments

TLDRIn this informative video from SimpleNursing.com, Nurse Mike educates viewers on various urinary medications, offering mnemonics and tips for remembering their uses and side effects. He covers Bethanechol for neurogenic bladder control, Finasteride for shrinking an enlarged prostate, Terazosin and Tamsulosin for urinary retention due to BPH, and Oxybutynine and Tolteridine for overactive bladders. Nurse Mike emphasizes the importance of patient education, particularly on slow position changes to prevent orthostatic hypotension and avoiding blood pressure-lowering drugs. He also provides insights into the mechanism of action for each drug and common side effects to watch for, such as dry mouth and eyes, constipation, and urinary retention. The video concludes with a reminder to take the provided quizzes and download study guides for further learning.

Takeaways
  • 📚 Remember to check out the new app from simplenursing.com for access to various nursing courses and resources.
  • 💊 Bethanechol is used for non-obstructive urinary retention, specifically for neurogenic bladder, to help with bladder control.
  • 🧠 Kaplan mentions that Bethanechol treats functional urine retention known as neurogenic bladder.
  • 🚿 The common side effects of Bethanechol include sweating, urinary urgency, low heart rate, and low blood pressure due to its cholinergic receptor stimulation.
  • 🤔 For NCLEX exams, focus on why a drug is given rather than its common side effects.
  • 🍁 Finasteride is prescribed to shrink the prostate in cases of benign prostatic hyperplasia (BPH).
  • 🐎 A memory trick for Finasteride involves imagining a man on a horse with a swollen prostate for easier recall.
  • 💊 Terazosin and Tamsulosin are used to treat urinary retention caused by an enlarged prostate by relaxing smooth muscles.
  • 🚫 Avoid low blood pressure drugs like Sildenafil (Viagra) when taking Terazosin due to the risk of excessive blood vessel dilation and low blood pressure.
  • 🧵 The key side effect of Terazosin to be aware of is orthostatic hypotension, which requires slow position changes to mitigate.
  • 🍇 Interestingly, grapefruit juice is safe to consume with Terazosin, unlike many other medications.
  • 💧 Oxybutynine and Tolteridine are used to treat overactive bladder, reducing urinary frequency, urgency, and nocturia.
  • 🅾 Oxybutynine is not to be confused with Oxycodone or Oxytocin; it ends in 'b' for bladder, and is used for urinary frequency issues.
  • 🔍 Oxybutynine works as an anticholinergic, which means it can cause dry mouth, blurred vision, and constipation.
  • ⚠️ A major adverse effect of Oxybutynine is urinary retention, and patients should report no urination throughout the day to their healthcare provider.
Q & A

  • What is the primary use of Bethanechol?

    -Bethanechol is used for non-obstructive urinary retention, specifically for neurogenic bladder. It helps to treat urinary retention by stimulating cholinergic receptors, which aids in bladder control.

  • What is the common side effect associated with Bethanechol?

    -Common side effects of Bethanechol include increased sweating, urinary urgency, low heart rate, and low blood pressure due to its action on cholinergic receptors.

  • Which medication is used to shrink the prostate and is associated with an enlarged prostate?

    -Finasteride is used to shrink the prostate, particularly in cases of benign prostatic hyperplasia (BPH).

  • How does Terazosin work to treat urinary retention in clients with enlarged prostates?

    -Terazosin works by relaxing smooth muscle in the bladder, prostate, and periphery, which helps the body release urine more effectively.

  • What is a key side effect to monitor when a patient is on Terazosin?

    -Orthostatic hypotension, or low blood pressure upon standing, is a key side effect to monitor when a patient is on Terazosin due to its muscle-relaxing properties.

  • What is the primary use of Oxybutynine and Tolteridine?

    -Oxybutynine and Tolteridine are used to treat overactive bladder, reducing urinary frequency, urgency, and nocturia (nighttime bathroom visits).

  • How does Oxybutynine work in the body?

    -Oxybutynine works as an anticholinergic, which means it reduces secretions in the body, leading to a drier state and thus reducing symptoms of an overactive bladder.

  • What is a significant adverse effect of Oxybutynine that patients should be aware of?

    -Urinary retention is a significant adverse effect of Oxybutynine, as it can potentially dry up the body too much and stop urination altogether.

  • What is the key patient teaching point regarding Terazosin?

    -The key patient teaching points for Terazosin include making slow position changes to prevent orthostatic hypotension and avoiding blood pressure-lowering drugs like Sildenafil (Viagra).

  • Why is it important to teach patients about fluid intake when taking Oxybutynine?

    -It is important to teach patients about increased fluid intake when taking Oxybutynine because the drug can cause dehydration, leading to low blood pressure and heat intolerance.

  • What is the significance of the mnemonic 'B' for bladder when remembering Oxybutynine?

    -The mnemonic 'B' for bladder helps to associate Oxybutynine with its use for treating an overactive bladder, as it ends in 'B' like 'butane', and helps distinguish it from similar-sounding drugs like Oxycodone and Oxytocin.

  • Why is it advised not to double up on medication doses if a dose of Terazosin is missed?

    -It is advised not to double up on medication doses if a dose of Terazosin is missed to avoid potential risks of an overdose, which can exacerbate side effects like orthostatic hypotension.

Outlines
00:00
💊 Medication Overview for Urinary Issues

This paragraph introduces the topic of urinary medications, focusing on Bethanicol for non-obstructive urinary retention, particularly in neurogenic bladder. It explains the drug's mechanism of action through stimulating cholinergic receptors, which can lead to side effects like sweating and urinary urgency. The paragraph also covers Finasteride for shrinking the prostate and Terazosin/Tamsulosin for urinary retention due to an enlarged prostate. It emphasizes the importance of patient teaching regarding slow position changes to prevent orthostatic hypotension and avoiding certain medications that could lower blood pressure excessively. The segment concludes with a note on Oxybutynine and Tolteridine for overactive bladders.

05:01
📚 Nursing Tips and Medication Side Effects

The second paragraph delves into the specifics of Oxybutynine, contrasting it with similar-sounding drug names like Oxycodone and Oxytocin to avoid confusion. It describes Oxybutynine's anticholinergic action and its common side effects, which include dry eyes, dry mouth, and constipation. The paragraph also discusses patient education regarding the prevention of urinary retention and the importance of reporting no urination throughout the day. It addresses the teaching plan for an elderly patient prescribed Terazosin, emphasizing the need for slow position changes and avoiding blood pressure-lowering medications. The segment concludes with a review of expected side effects of Oxybutynine.

10:02
🎓 Educational Recap and Final Reminders

The final paragraph serves as a recap, summarizing key points about Oxybutynine's effects on the body, leading to 'high and dry' lab values indicative of dehydration. It encourages nursing students to familiarize themselves with the basic metabolic panel (BMP) and its components. The segment ends with a reminder for viewers to take quizzes, download study guides, and subscribe to the YouTube channel. It also thanks the team of experts for their contributions to the educational content.

Mindmap
Keywords
💡Bethanechol
Bethanechol is a medication used for non-obstructive urinary retention, specifically for neurogenic bladder. It is a cholinergic drug that stimulates cholinergic receptors, which can help clients with neurological issues regain bladder control. In the video, it is mentioned as a treatment for urinary retention and is associated with side effects like sweating, urinary urgency, low heart rate, and low blood pressure.
💡Finasteride
Finasteride is a drug given to shrink the prostate, typically prescribed to clients suffering from benign prostatic hyperplasia (BPH). It is used to alleviate symptoms caused by an enlarged prostate. The video uses a memory trick involving a man on a horse to help remember that finasteride is for prostate issues.
💡Terazosin
Terazosin is a medication used to treat urinary retention in clients with enlarged prostates. It works by relaxing smooth muscle in the bladder, prostate, and periphery, which facilitates the release of urine. The video emphasizes the importance of slow position changes to prevent orthostatic hypotension, a common side effect due to the drug's action on smooth muscles.
💡Orthostatic Hypotension
Orthostatic hypotension is a sudden drop in blood pressure that occurs when a person stands up quickly, which can cause dizziness. In the context of the video, it is a side effect associated with terazosin due to its muscle-relaxing properties. The video advises patients to make slow position changes to mitigate this side effect.
💡Oxybutynin
Oxybutynin is a medication used to treat overactive bladder, reducing urinary frequency, urgency, and nocturia (nighttime bathroom visits). It is an anticholinergic drug, which means it can cause dry mouth, dry eyes, and constipation. The video provides a mnemonic to distinguish oxybutynin from similar-sounding drugs like oxycodone and oxytocin.
💡Anticholinergic
Anticholinergic drugs block the action of acetylcholine, a neurotransmitter, which can lead to a decrease in certain secretions and functions in the body. In the video, it is mentioned in relation to oxybutynin's mechanism of action, which can result in side effects like dry mouth, blurred vision, and constipation.
💡Urinary Retention
Urinary retention is the inability to pass urine, which can be a serious side effect of certain medications, including anticholinergic drugs like oxybutynin. The video highlights this as a major adverse effect, instructing that no urination throughout the day should be reported to a healthcare provider.
💡Grapefruit Juice
Grapefruit juice is often a consideration when discussing drug interactions due to its ability to affect the metabolism of certain medications. However, the video notes that it is safe to consume with terazosin, which is a deviation from the common caution advised with many other drugs.
💡Nurse Mike
Nurse Mike is the presenter in the video, welcoming viewers to simplenursing.com and providing educational content on urinary medications. He serves as a guide through the various drugs and their uses, side effects, and nursing considerations.
💡NCLEX
The NCLEX (National Council Licensure Examination) is a nursing exam that tests the knowledge and skills of nursing candidates. The video provides tips and insights on how to approach questions related to urinary medications that may appear on the NCLEX.
💡Patient Teaching
Patient teaching is a critical aspect of nursing care, ensuring that patients understand how to take their medications correctly and what side effects to watch for. The video emphasizes the importance of teaching patients about slow position changes to prevent orthostatic hypotension and the avoidance of certain medications and foods.
Highlights

Introduction to SimpleNursing.com's new app offering access to various nursing courses including pharmacology and med-surg mastery.

Bethanechol is used for non-obstructive urinary retention, specifically for neurogenic bladder to help with bladder control.

Bethanechol works by stimulating cholinergic receptors, which can lead to side effects like sweating, urinary urgency, and low heart rate.

Finasteride is prescribed to shrink the prostate in cases of benign prostatic hyperplasia (BPH).

Terazosin and tamsulosin are used to treat urinary retention associated with enlarged prostates by relaxing smooth muscles.

Orthostatic hypotension is a significant side effect of terazosin and tamsulosin, requiring patients to make slow position changes.

Grapefruit juice is surprisingly safe to consume with terazosin, unlike many other medications.

Oxybutynine and tolteridine are used to treat overactive bladder, reducing urinary frequency and nocturia.

Oxybutynine is an anticholinergic medication that can cause dry mouth, constipation, and blurred vision.

Urinary retention is a major adverse effect of oxybutynine, and patients should report no urination all day to their healthcare provider.

Teaching patients to increase fluid intake and make slow position changes is crucial to prevent orthostatic hypotension and dehydration.

Terazosin should not be taken with anti-acids and patients should avoid blood pressure-lowering drugs like sildenafil.

Expected side effects of oxybutynine include dry eyes and mouth, and constipation, but not hypertension or hypokalemia.

Nursing students should be familiar with blood work panels such as BMP and metabolic panels to monitor dehydration and overhydration.

SimpleNursing.com provides study guides and quizzes to help nursing students prepare for their exams.

A reminder to subscribe to SimpleNursing.com's YouTube channel for more educational content.

Gratitude expressed to the team of experts contributing to the creation of informative and helpful nursing education videos.

Transcripts

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Urinary MedicationsNursing LecturesBethanecholFinasterideTerazosinOxybutynineNeurogenic BladderBPH TreatmentNCLEX TipsPatient TeachingPharmacologyHealthcare Education