Chapter 21 pharm

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Questions and Answers

What is the main effect of cholinergic drugs?

  • Block the parasympathetic nervous system
  • Cause increased heart rate
  • Stimulate the parasympathetic nervous system (correct)
  • Decrease muscle rigidity

What is a potential adverse effect of anticholinergic drugs?

  • Decreased sweating (correct)
  • Increased urinary output
  • Stimulation of the sympathetic nervous system
  • Constriction of the internal sphincter

When should patients taking anticholinergic drugs contact their doctor?

  • If they experience increased pooping
  • If they have dilated pupils
  • If they feel drowsy
  • If they have muscle cramps (correct)

What is the antidote to anticholinergic drugs?

<p>Physostigmine (A)</p> Signup and view all the answers

What effect do anticholinergic drugs have on heart rate?

<p>They can increase heart rate with large doses (C)</p> Signup and view all the answers

Which condition would be a contraindication for taking anticholinergic drugs?

<p>Urinary retention (B)</p> Signup and view all the answers

What is the potential consequence of giving anticholinergic drugs to patients with glaucoma?

<p>Increased pupil dilation (B)</p> Signup and view all the answers

What is the role of atropine among anticholinergic drugs?

<p>It is used for bradycardia (B)</p> Signup and view all the answers

What is the main effect of anticholinergic drugs?

<p>Decrease in urine output (D)</p> Signup and view all the answers

For which condition is the anticholinergic medication Dicyclomine/Bentyl commonly used?

<p>IBS (A)</p> Signup and view all the answers

What is the antidote for atropine, an anticholinergic drug?

<p>Physostigmine (C)</p> Signup and view all the answers

What is a potential adverse effect of anticholinergic drugs?

<p>Hallucinations (B)</p> Signup and view all the answers

What is the primary effect of anticholinergic drugs?

<p>Blocking the action of acetylcholine (D)</p> Signup and view all the answers

Which medication is commonly used for overactive bladder among anticholinergic drugs?

<p>Oxybutynin/Ditropan (D)</p> Signup and view all the answers

In what condition would anticholinergic drugs be given in the hospital before surgery?

<p>To avoid aspiration (D)</p> Signup and view all the answers

What is the primary role of Glycopyrrolate/Robinul, an anticholinergic drug?

<p>Controlling production of secretions (A)</p> Signup and view all the answers

Which condition can be treated using Scopolamine, an anticholinergic medication?

<p>Motion sickness (D)</p> Signup and view all the answers

How do anticholinergic drugs affect the parasympathetic nervous system?

<p>They block it (D)</p> Signup and view all the answers

What is the potential risk for patients taking anticholinergic drugs?

<p>Higher risk for heat stroke (B)</p> Signup and view all the answers

What is the effect of anticholinergic drugs on the internal sphincter?

<p>Increased constriction causing urinary retention (C)</p> Signup and view all the answers

Which of the following conditions can be treated using anticholinergic medications?

<p>Irritable bowel syndrome (IBS) (A)</p> Signup and view all the answers

What is a potential use of anticholinergic drugs?

<p>For patients with COPD (A)</p> Signup and view all the answers

What is a potential condition for which anticholinergic drugs might not be suitable?

<p>Glaucoma (A)</p> Signup and view all the answers

Anti-Cholinergic drugs dry you out.

<p>True (A)</p> Signup and view all the answers

Before an operation, what anticholinergic drug would you see given to a patient?

<p>Glycopyrrolate/Robinul (A)</p> Signup and view all the answers

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Study Notes

Anticholinergic Drugs

  • Main effect: Inhibit the action of acetylcholine, a neurotransmitter that stimulates muscle contractions and secretions.
  • Adverse effect: Dry mouth, blurred vision, urinary retention, constipation, and tachycardia.
  • Contact doctor: When experiencing adverse effects, such as difficulty urinating or allergic reactions.
  • Antidote: Physostigmine, which reverses the effects of anticholinergic overdose.
  • Effect on heart rate: Increases heart rate.
  • Contraindication: Glaucoma, as anticholinergic drugs can increase intraocular pressure.
  • Effect on glaucoma patients: Worsening of glaucoma symptoms.
  • Role of Atropine: Blocks the action of acetylcholine, used to treat bradycardia, organophosphate poisoning, and as a pre-anesthetic medication.
  • Main effect: Inhibit the parasympathetic nervous system, reducing secretions and muscle contractions.

Indications and Contraindications

  • Dicyclomine/Bentyl: Used to treat irritable bowel syndrome (IBS).
  • Anticholinergic medication for overactive bladder: Oxybutynin, Tolterodine, or Solifenacin.
  • Scopolamine: Used to treat motion sickness, nausea, and vomiting.
  • Pre-surgical use: Glycopyrrolate/Robinul, used to reduce secretions and prevent bronchospasms.
  • Primary role of Glycopyrrolate/Robinul: Reduces secretions and prevents bronchospasms during surgery.

Effects on the Body

  • Affects the parasympathetic nervous system: Reduces secretions and muscle contractions.
  • Effect on the internal sphincter: Relaxes the internal sphincter, increasing the risk of urinary retention.
  • Potential risk: Increased risk of heat stroke, especially in elderly patients.
  • Dry mouth: Anticholinergic drugs can dry out the mucous membranes, causing dry mouth.

Conditions Treated

  • Overactive bladder
  • Irritable bowel syndrome (IBS)
  • Motion sickness
  • Nausea and vomiting
  • Bradycardia
  • Organophosphate poisoning

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