Podcast
Questions and Answers
Which is a cardiovascular effect of cholinergic drugs?
Which is a cardiovascular effect of cholinergic drugs?
- Tachycardia
- Bradycardia (correct)
- Vasoconstriction
- Palpitations
How are most direct-acting cholinergic drugs mainly used?
How are most direct-acting cholinergic drugs mainly used?
- For the diagnosis and treatment of myasthenia gravis
- Orally in preparation for ocular surgery
- As antidotes for anticholinergic poisoning
- Topically to reduce intraocular pressure (correct)
When an overdose of an intravenous cholinergic drug occurs, which drug, administered promptly, can reverse a cholinergic crisis?
When an overdose of an intravenous cholinergic drug occurs, which drug, administered promptly, can reverse a cholinergic crisis?
- atenolol (Tenormin)
- dobutamine
- atropine sulphate (correct)
- bethanechol (Duvoid®)
A patient has had abdominal surgery and is being discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. Which therapeutic effects should the nurse teach the patient to watch for?
A patient has had abdominal surgery and is being discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. Which therapeutic effects should the nurse teach the patient to watch for?
A patient has been newly diagnosed with myasthenia gravis. What important information should the nurse give this patient about the administration of cholinergic drugs?
A patient has been newly diagnosed with myasthenia gravis. What important information should the nurse give this patient about the administration of cholinergic drugs?
Which drug is considered to be the antidote for anticholinergic poisoning and for poisoning by organophosphates and carbonates, such as those in common insecticides?
Which drug is considered to be the antidote for anticholinergic poisoning and for poisoning by organophosphates and carbonates, such as those in common insecticides?
A patient diagnosed 3 months ago has mild memory loss. She will be receiving donepezil (Aricept). which statement accurately describes the drug's actions?
A patient diagnosed 3 months ago has mild memory loss. She will be receiving donepezil (Aricept). which statement accurately describes the drug's actions?
A patient has been taking donepezil (Aricept) for 2 weeks as part of the treatment for early stages of Alzheimer's disease. The patient's daughter calls the physician's office, upset because her mother has not shown any improvement. What is the nurse's best response to the patient's daughter?
A patient has been taking donepezil (Aricept) for 2 weeks as part of the treatment for early stages of Alzheimer's disease. The patient's daughter calls the physician's office, upset because her mother has not shown any improvement. What is the nurse's best response to the patient's daughter?
The desired effects of cholinergic drugs come from stimulation of which receptors?
The desired effects of cholinergic drugs come from stimulation of which receptors?
A patient wants to begin taking ginkgo for memory enhancement. The nurse should warn this patient about possible drug interactions with which substances?
A patient wants to begin taking ginkgo for memory enhancement. The nurse should warn this patient about possible drug interactions with which substances?
Match the following effects to the correct stimulation:
a. Muscarinic stimulation
b. Nicotinic stimulation
c. Both muscarinic stimulation and nicotinic stimulation
Match the following effects to the correct stimulation: a. Muscarinic stimulation b. Nicotinic stimulation c. Both muscarinic stimulation and nicotinic stimulation
The nurse is about to administer a STAT dose of atropine sulphate to a patient who is experiencing a symptomatic cardiac dysrhythmia. During administration of this drug, the nurse monitors the patient closely for which adverse effect?
The nurse is about to administer a STAT dose of atropine sulphate to a patient who is experiencing a symptomatic cardiac dysrhythmia. During administration of this drug, the nurse monitors the patient closely for which adverse effect?
How long can a scopolamine patch prevent motion sickness?
How long can a scopolamine patch prevent motion sickness?
Which condition is appropriate for treatment with a cholinergic-blocking drug?
Which condition is appropriate for treatment with a cholinergic-blocking drug?
Which medication is the antidote to severe cases of atropine overdose?
Which medication is the antidote to severe cases of atropine overdose?
A 72-year-old male has a new prescription for an anticholinergic. He is an active man and enjoys outdoor activities such as hiking, golfing, and doing yard work. During a teaching session about his drug therapy, the nurse should emphasize that
A 72-year-old male has a new prescription for an anticholinergic. He is an active man and enjoys outdoor activities such as hiking, golfing, and doing yard work. During a teaching session about his drug therapy, the nurse should emphasize that
When administering an anticholinergic drug, the nurse expects the patient will experience which adverse effect?
When administering an anticholinergic drug, the nurse expects the patient will experience which adverse effect?
For which condition is the drug oxybutynin (Ditropan) used?
For which condition is the drug oxybutynin (Ditropan) used?
What is the advantage of using tolterodine (Detrol®) for urinary incontinence as compared with other drugs?
What is the advantage of using tolterodine (Detrol®) for urinary incontinence as compared with other drugs?
The nurse working in a preoperative holding unit anticipates an order to give which anticholinergic medication to a newly admitted patient?
The nurse working in a preoperative holding unit anticipates an order to give which anticholinergic medication to a newly admitted patient?
Solifenacin succinate (Vesicare®) is contraindicated for patients with which condition?
Solifenacin succinate (Vesicare®) is contraindicated for patients with which condition?
Atropine is appropriate for which patients? (Select all that apply.)
Atropine is appropriate for which patients? (Select all that apply.)
Flashcards
Cardiovascular effect of cholinergic drugs?
Cardiovascular effect of cholinergic drugs?
Decreased heart rate and vasodilation.
How are most direct-acting cholinergic drugs mainly used?
How are most direct-acting cholinergic drugs mainly used?
Topically to reduce intraocular pressure in patients with glaucoma.
Antidote for intravenous cholinergic drug overdose?
Antidote for intravenous cholinergic drug overdose?
Atropine sulphate
Therapeutic effects to watch for when taking cholinergic drug to assist in increasing gastrointestinal peristalsis?
Therapeutic effects to watch for when taking cholinergic drug to assist in increasing gastrointestinal peristalsis?
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Administration of cholinergic drugs for myasthenia gravis?
Administration of cholinergic drugs for myasthenia gravis?
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Antidote for anticholinergic poisoning?
Antidote for anticholinergic poisoning?
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What accurately describes the Donepezil drug's actions?
What accurately describes the Donepezil drug's actions?
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Response to patient's daughter?
Response to patient's daughter?
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The desired effects of cholinergic drugs come from stimulation of which receptors?
The desired effects of cholinergic drugs come from stimulation of which receptors?
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Possible drug interactions with ginkgo?
Possible drug interactions with ginkgo?
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Study Notes
- Cholinergic drugs can cause bradycardia and vasodilation, leading to a decreased heart rate.
- Direct-acting cholinergic drugs help reduce intraocular pressure in patients with glaucoma or those undergoing ocular surgery when applied topically.
- With an intravenous cholinergic drug overdose, promptly administer atropine sulfate to reverse the cholinergic crisis.
- An increased passage of flatus indicates increased gastrointestinal peristalsis in patients experiencing a postoperative decrease in gastrointestinal peristalsis.
- Myasthenia gravis patients should take cholinergic drugs 30 minutes before eating to improve swallowing and chewing.
- Physostigmine is considered to be the antidote for anticholinergic poisoning and poisoning by organophosphates and carbonates, commonly found in insecticides.
Alzheimer's Disease and Related Medications
- Donepezil treats mild to moderate dementia in Alzheimer's disease and may improve symptoms.
- It may take up to 6 weeks to see improvement when taking donepezil for Alzheimer's disease.
- Desired effects of cholinergic drugs come from muscarinic receptor stimulation, while undesirable adverse effects come from nicotinic receptor stimulation.
- Ginkgo may interact with aspirin, NSAIDs, warfarin, heparin, anticonvulsants, ticlopidine, clopidogrel, dipyridamole, and tricyclic antidepressants.
- Both muscarinic and nicotinic stimulation causes pupil constriction.
- Nicotinic stimulation leads to an increased heart rate.
- Muscarinic stimulation leads to a decreased blood pressure.
- Tachycardia is one of the cardiovascular effects of cholinergic blockers.
- A scopolamine patch can prevent motion sickness for 3 days.
- Cholinergic-blocking drugs may be used to treat irritable bowel disease.
- Glaucoma, myasthenia gravis, and genitourinary obstruction are contraindications to the use of cholinergic-blocking drugs.
- Physostigmine is the antidote to an atropine overdose in clients who show extreme delirium or agitation and who could injure themselves.
- Older adult patients who take an anticholinergic should be reminded that they are at a greater risk for suffering a heat stroke because of decreased sweating and loss of normal heat-regulating mechanisms.
- When administering an anticholinergic drug, the patient will experience dry mouth is a common adverse effect.
- Oxybutynin is used as an antispasmodic for the treatment of neurogenic and overactive bladder conditions.
- The incidence of dry mouth is much lower with tolterodine as compared with other drugs.
- Glycopyrrolate is an anticholinergic drug that can be used to control secretions during surgery.
- Solifenacin succinate is contraindicated for patients with glaucoma, certain gastrointestinal and genitourinary tract problems, severe constipation, and urinary retention.
- Atropine is appropriate for treating symptomatic bradycardia certain other cardiac conditions, preoperatively control secretions during surgery, and to decrease intestinal motility.
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