Question

One hour after receiving pyridostigmine bromide for myasthenia gravis, a client reports difficulty swallowing and excessive respiratory secretions. what medication would the nurse anticipate to reverse the effects of pyridostigmine bromide? edrophonium atropine additional pyridostigmine bromide acyclovir

Answer 1

Answer: Atropine

Explanation:

Atropine can be defined as a medication which is used to treat certain types of nerve agent.

It is also used in case of excessive respiratory secretions as it slows down the heart rate and saliva production.

It is mainly given intravenously into muscles in case of surgery and also helps in reducing the increased saliva secretions.

here, the problem is excessive respiratory secretions so atropine can be used.

Answer 2

Pyridostigmine is a acetylcholinesterase inhibitor which acts as a cholinergic drug. Acetylcholinesterase or AChE is the enzyme that breaks down the major neurotransmitter acetylcholine into acetyl-CoA and choline, rendering the neurotransmitter useless. In a patient that had major adverse effects upon administration of pyridostigmine, the correct drug to be given as antidote for a cholinergic drug is an anticholinergic drug such as atropine.