Renal/Urinary/Reproductive Meds

Question 1

Indication:

Urinary antispasmodics

Answer 1

To treat overactive bladder and incontinence.

Question 2

Generic names:

Urinary antispasmodics

Answer 2

• solifenacin
• tolterodine
• oxybutynin

Question 3

Side effects and nursing considerations:

Urinary antispasmodics

Answer 3

Anticholinergic side effects (use caution if taking other anticholinergic meds):

• causes blurry vision - implement safety / fall precautions
• causes urinary retention - monitor intake and output
• causes dry mouth - give candy or ice chips
• causes constipation - encourage fluids/fiber/walking

“can’t see, can’t pee, can’t spit, can’t shit”

Question 4

Generic names:

Female contraceptives

Answer 4

• ethinyl estradiol/norgestimate (the pill)
• ethinyl estradiol/etonogestrel (vagina ring)
• medroxyprogesterone (IM injectable)

Question 5

Most common side effects and nursing considerations:

Female contraceptives

Answer 5

Increases risk of blood clots and hypertension.

Teach to avoid smoking.

Question 6

Generic names:

Erectile dysfunction drugs

Answer 6

sildenafil, tadalafil

Question 7

Most common side effects and nursing considerations:

Erectile dysfunction drugs

Answer 7

1. Vasodilator
2. Can cause severe hypotension
   
   • ​use caution when taking meds that decrease blood pressure
   • ​don’t take with nitroglycerin

Question 8

Mechanism of action:

Urinary antispasmodics

Answer 8

Relaxes smooth muscles of bladder.

Question 9

Mechanism of action:

Female contraceptives

Answer 9

Estrogen and progestin stops ovulation.