Hyoscine Nursing Responsibilities

Adverse Reactions and Side Effects

  • Tachycardia
  • Dry mouth
  • Reduced ability to sweat
  • Allergic reactions
  • Difficulty in passing urine (urinary retention)
  • Flushing
  • Postural hypotension
  • Fibrillation
  • Dizziness
  • Drowsiness
  • Fatigue
  • Headache
  • Memory loss
  • Dry skin
  • Erythema
  • Increased sensitivity to light
  • Rash
  • Bloatedness
  • Constipation
  • Dry throat
  • Nausea and vomiting
  • Xerostamia
  • Dysuria
  • Urinary retention
  • Tremor
  • Weakness
  • Impaired accommodation
  • Blurred vision
  • Cyclopegia
  • Narrow-angle glaucoma
  • Increase intraocular pain
  • Itching
  • Photophobia
  • Pupil dilation
  • Heat intolerance
  • Increase ibtraocular pressure
  • Vascular and respiratory congestion

Potentially Fatal Adverse Effects

  • CNS depression
  • Coma
  • Circulatory and respiratory failure

Nursing Responsibilities

  • Hyoscine may make a patient dizzy or cause vision problems; use caution engaging in activities requiring alertness such as driving or using machinery.
  • Instruct the client to avoid or minimize drinking alcoholic beverages.
  • Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug.
  • Inform the patient to consult the doctor immediately if he or she experiences any of the following while using this medicine: red and painful eye, possibly with headache, loss of vision, or seeing haloes around lights. These symptoms may be caused by an increase in pressure inside the eyeball and require urgent investigation by the doctor.
  • If the patient missed a dose, inform him or her to use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Remind the patient not double the dose to catch up.
  • The medication should be stored at room temperature between 59 and 86 degrees F away from light and moisture.
  • Hyoscine should not be placed in the refrigerator.
  • Symptoms of overdose may include: irregular heartbeat, reddened skin, drowsiness. Instruct the patient to immediately alert the physician once these are noticed or experienced.

Daisy Jane Antipuesto RN MN

Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.

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