Chapter 20 pharm
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Questions and Answers

Which of the following describes the toxic effect of cholinergic drugs?

  • Relaxation of the bladder sphincter
  • Increased heart rate, vasodilation, and bronchiole constriction
  • Salivation, lacrimation, urinary incontinence, diarrhea, GI cramps, and emesis (correct)
  • Treatment of vertigo, memory loss, and tinnitus
  • Which cholinergic drug is used to treat excessively dry mouth?

  • Cevimeline (correct)
  • Succinylcholine
  • Neostigmine
  • Echothiopate
  • What is the antidote to cholinergic drugs?

  • Cevimeline
  • Gingko
  • Atropine (correct)
  • Bethanechol
  • What is the function of cholinergic drugs?

    <p>Decrease heart rate and constrict pupils (A)</p> Signup and view all the answers

    What does the SLUDGE acronym stand for in the context of cholinergic drugs?

    <p>Salivation, lacrimation, urinary incontinence, diarrhea, GI cramps, and emesis (C)</p> Signup and view all the answers

    Which drug is used to relax the sphincter in the bladder, allowing it to empty?

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

    What is the primary function of Ginkgo according to the text?

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

    What are the effects of cholinergic drugs on the cardiovascular system?

    <p>Decrease heart rate, vasodilate, and constrict bronchioles (D)</p> Signup and view all the answers

    Which drug serves as an antidote for a severe overdose of tricyclic antidepressants?

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

    What interactions may Ginkgo have with other medications?

    <p>Anticoagulants, NSAIDs, and Anticonvulsants (B)</p> Signup and view all the answers

    Which drug is used for glaucoma and intraocular surgery?

    <p>All answers are correct (C)</p> Signup and view all the answers

    What effect do cholinergic drugs have on the body?

    <p>Increased sweating and urination (C)</p> Signup and view all the answers

    Which of the following is a potential use for atropine?

    <p>Counteracting the effects of cholinergic drugs (C)</p> Signup and view all the answers

    What is the role of succinylcholine in general anesthesia?

    <p>Blocking neuromuscular activity (C)</p> Signup and view all the answers

    Cholinergic drugs effect pupils, intestines, bladder, salivation glands, and sweat glands.

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

    Study Notes

    Cholinergic Drugs Overview

    • Cholinergic drugs can have toxic effects, leading to symptoms associated with overstimulation of the parasympathetic nervous system.
    • SLUDGE acronym represents Salivation, Lacrimation, Urination, Diarrhea, Gastrointestinal distress, and Emesis, highlighting common symptoms of cholinergic toxicity.

    Specific Cholinergic Drug Uses

    • Pilocarpine is a cholinergic drug commonly used to treat excessively dry mouth (xerostomia).
    • Atropine may be used as an antidote in cases of cholinergic toxicity.

    Functions and Effects of Cholinergic Drugs

    • Cholinergic drugs enhance the function of the neurotransmitter acetylcholine, promoting bodily functions related to the rest-and-digest response.
    • They affect multiple systems, resulting in increased salivation, lacrimation, urination, digestive activity, and secretion of sweat.

    Cardiovascular Effects

    • Cholinergic drugs generally lead to a decrease in heart rate and may cause vasodilation, influencing blood pressure.

    Bladder Mechanisms

    • Oxybutynin is used to relax the bladder sphincter, facilitating bladder emptying.

    Ginkgo Biloba Insights

    • Ginkgo is primarily used to enhance cognitive function and circulation.
    • It may interact with anticoagulants, antiplatelet drugs, and other medications affecting coagulation.

    Other Relevant Drugs

    • Physostigmine can act as an antidote for severe overdoses of tricyclic antidepressants, reversing anticholinergic effects.
    • Acetylcholine analogs such as pilocarpine are utilized in the management of glaucoma and during intraocular surgeries.

    Anesthesia Context

    • Succinylcholine is a neuromuscular blocker employed in general anesthesia to induce muscle relaxation for surgical procedures.

    Conclusion

    • Understanding the diverse effects and applications of cholinergic drugs is crucial for effective medical treatment and management of associated symptoms.

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    Test your knowledge about cholinergic drugs, their effects on various body systems, toxic effects, and the antidote to cholinergic drugs. Explore indications for cholinergic drugs and their impact on bodily functions.

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