A patient with myasthenia gravis is taking pyridostigmine (Mestinon)
When teaching about this medication, the nurse should instruct the patient to immediately report which conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Increased weakness
2. Excessive salivation
3. Fever
4. Tooth pain
5. Increased difficulty swallowing
1,2,5
Rationale 1: An overdose or underdose of anticholinesterase drugs can lead to a myasthenic or cholinergic crisis. The goal of pharmacological therapy is to increase muscle tone; weakness after taking the medication should be reported as soon as possible to avoid a medical emergency.
Rationale 2: Excessive salivation is a sign of cholinergic crisis.
Rationale 3: Fever is not an adverse effect of pyridostigmine (Mesinon).
Rationale 4: Tooth pain is not an adverse effect of pyridostigmine (Mestinon).
Rationale 5: Increased difficulty swallowing is a sign of cholinergic crisis.
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