HNBB

Question 1

BRAND NAME

Answer 1

Buscopan

Question 2

DRUG CLASS

Answer 2

Antispasmodic

Question 3

THERAPEUTIC EFFECTS

Answer 3

Hyoscine-N-butylbromide (HNBB) acts by interfering with the transmission of nerve impulses by acetylcholine in the parasympathetic nervous system.

Buscopan exerts a spasmolytic action on the smooth muscle of the gastrointestinal, biliary and urinary tracts.

Question 4

INDICATIONS

Answer 4

Relief of spasm of the genitourinary tract or gastro- intestinal tract

For the symptomatic relief of Irritable Bowel Syndrome

Question 5

CONTRAINDICATIONS

Answer 5

Hypersensitivity
Myasthenia gravis
Megacolon
Narrow angle glaucoma

Question 6

SIDE EFFECTS

Answer 6

CNS: dizziness, anaphylactic reactions, anaphylactic shock, increased ICP, disorientation, restlessness, irritability, dizziness, drowsiness, headache, confusion, hallucination, delirium, impaired memory
CV: hypotension, tachycardia, palpitations, flushing
GI: Dry mouth, constipation, nausea, epigastric distress
DERM: flushing, dyshidrosis
GU: Urinary retention, urinary hesitancy
Resp: dyspnea, bronchial plugging, depressed respiration
EENT: mydriasis, dilated pupils, blurred vision, photopobia, increased intraocular pressure, difficulty of swallowing.

Question 7

NURSING RESPONSIBILITIES

Answer 7

Raise side rails as a precaution because some patients become temporarily excited or disoriented and some develop amnesia or become drowsy.

Drug compatibility should be monitored closely in patients requiring adjunctive therapy