Neo/glyco side effects

[hasbroRN]

Does any one have a resource that documents the side effects of neo/glyco reversal in small children? At the bedside we frequently see tachycardia, flushed cheeks, and fever and routinely keep the kids under 1 yr old for one and a half hours. In precepting newer nurses, however, the actual mechanism of this isn't readily available in nursing references and I'm at a loss as how to explain this phenomenom. Thanks!

[GHGoonette, BSN, RN]

Neostigmine:

http://www.google.co.za/url?sa=t&rct=j&q=neostigmine%20side%20effects&source=web&cd=3&ved=0CDkQFjAC&url=http%3A%2F%2Fwww.rxlist.com%2Fprostigmin-drug.htm&ei=pz-0TsPMMMnRmAWx_IDOAw&usg=AFQjCNH5V9ecV1lvdOQlOXAM7xhV_F9x7g&sig2=haq73wz0TmEE6CcIoSJmPw&cad=rja

Glycopyrrolate:

[url=http://www.google.co.za/url?sa=t&rct=j&q=robinul%20injection&source=web&cd=3&ved=0CDIQFjAC&url=http%3A%2F%2Fwww.rxlist.com%2Frobinul-drug.htm&ei=H0C0TqPYFOb-mAWc8527Aw&usg=AFQjCNFE4eHyKVN8_viH7bEBQCUSyZQfig&sig2=wMnWNbgd6rsGgLm9s0dPtw&cad=rja][/url]http://www.google.co.za/url?sa=t&rct=j&q=robinul%20injection&source=web&cd=3&ved=0CDIQFjAC&url=http%3A%2F%2Fwww.rxlist.com%2Frobinul-drug.htm&ei=H0C0TqPYFOb-mAWc8527Aw&usg=AFQjCNFE4eHyKVN8_viH7bEBQCUSyZQfig&sig2=wMnWNbgd6rsGgLm9s0dPtw&cad=rja

Tachycardia is a "normal" side effect of the glyco; it can be given for treatment of intra-operative bradycardia. A raised temp can be part of the body's response to surgical invasion. However, given that in rare cases it can precipitate malignant hyperthermia, be on the watch for spasm of the masseter muscle.