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</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</p> Signup and view all the answers

    Which condition would be a contraindication for taking anticholinergic drugs?

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

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

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

    What is the role of atropine among anticholinergic drugs?

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

    What is the main effect of anticholinergic drugs?

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

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

    <p>IBS</p> Signup and view all the answers

    What is the antidote for atropine, an anticholinergic drug?

    <p>Physostigmine</p> Signup and view all the answers

    What is a potential adverse effect of anticholinergic drugs?

    <p>Hallucinations</p> Signup and view all the answers

    What is the primary effect of anticholinergic drugs?

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

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

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

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

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

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

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

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

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

    How do anticholinergic drugs affect the parasympathetic nervous system?

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

    What is the potential risk for patients taking anticholinergic drugs?

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

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

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

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

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

    What is a potential use of anticholinergic drugs?

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

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

    <p>Glaucoma</p> Signup and view all the answers

    Anti-Cholinergic drugs dry you out.

    <p>True</p> Signup and view all the answers

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

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

    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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