Podcast
Questions and Answers
A client with COPD is prescribed ipratropium. Which instruction should the nurse emphasize regarding the medication's use?
A client with COPD is prescribed ipratropium. Which instruction should the nurse emphasize regarding the medication's use?
- Discontinue the medication if you experience any blurred vision.
- Use this medication as a rescue inhaler during acute breathing difficulties.
- Administer the medication only when experiencing a productive cough.
- Suck on hard candy or frequently sip water to relieve dry mouth. (correct)
A client with a history of glaucoma is prescribed ipratropium. What specific instruction should the nurse provide to ensure client safety?
A client with a history of glaucoma is prescribed ipratropium. What specific instruction should the nurse provide to ensure client safety?
- Increase fluid intake to prevent urinary retention.
- Avoid taking the medication at night to prevent sleep disturbances.
- Schedule frequent eye exams to monitor for glaucoma progression. (correct)
- Monitor blood pressure regularly due to potential hypertensive effects.
A client is prescribed both ipratropium and a beta2-adrenergic agonist. What is the most important nursing consideration regarding these medications?
A client is prescribed both ipratropium and a beta2-adrenergic agonist. What is the most important nursing consideration regarding these medications?
- Instruct the client to alternate the use of each inhaler daily.
- Monitor for decreased effectiveness of either medication.
- Administer the beta2-adrenergic agonist first, followed by ipratropium 30 minutes later.
- Ensure the primary care provider adjusts the dosage of one of the medications. (correct)
Which pre-existing condition should prompt a nurse to exercise caution when administering ipratropium?
Which pre-existing condition should prompt a nurse to exercise caution when administering ipratropium?
A client reports difficulty urinating after starting ipratropium. What action should the nurse take first?
A client reports difficulty urinating after starting ipratropium. What action should the nurse take first?
How do inhaled anticholinergics counteract bronchoconstriction in clients with COPD?
How do inhaled anticholinergics counteract bronchoconstriction in clients with COPD?
A client with a history of narrow-angle glaucoma is prescribed inhaled ipratropium. Which intervention is most important?
A client with a history of narrow-angle glaucoma is prescribed inhaled ipratropium. Which intervention is most important?
Why is it important to offer water and hard candy to clients using inhaled anticholinergics?
Why is it important to offer water and hard candy to clients using inhaled anticholinergics?
When administering multiple inhalants, including an anticholinergic, what is the recommended waiting period after administering the anticholinergic before giving the next inhalant?
When administering multiple inhalants, including an anticholinergic, what is the recommended waiting period after administering the anticholinergic before giving the next inhalant?
What is the primary difference in the mechanism of action between beta2-adrenergic agonists and anticholinergics in treating airflow disorders?
What is the primary difference in the mechanism of action between beta2-adrenergic agonists and anticholinergics in treating airflow disorders?
Which adverse effect of inhaled anticholinergics requires monitoring urinary elimination patterns, especially in older adults?
Which adverse effect of inhaled anticholinergics requires monitoring urinary elimination patterns, especially in older adults?
A client reports an unpleasant aftertaste after using their inhaled anticholinergic. What action should the nurse recommend?
A client reports an unpleasant aftertaste after using their inhaled anticholinergic. What action should the nurse recommend?
Which of the following is the prototype medication for short-acting muscarinic antagonists (SAMA)?
Which of the following is the prototype medication for short-acting muscarinic antagonists (SAMA)?
Flashcards
Inhaled Anticholinergics: Use
Inhaled Anticholinergics: Use
Inhaled anticholinergics are bronchodilators used for COPD, not rescue meds for acute asthma.
Inhaled Anticholinergics: Dry Mouth Relief
Inhaled Anticholinergics: Dry Mouth Relief
Suck on hard candy and sip water.
Inhaled Anticholinergics: Monitoring
Inhaled Anticholinergics: Monitoring
Regular eye exams for glaucoma and report urinary changes.
Ipratropium: Cautions
Ipratropium: Cautions
Signup and view all the flashcards
Inhaled Anticholinergics: Interactions
Inhaled Anticholinergics: Interactions
Signup and view all the flashcards
Anticholinergics
Anticholinergics
Signup and view all the flashcards
Ipratropium
Ipratropium
Signup and view all the flashcards
Umeclidinium, Tiotropium, Aclidinium, Revefenacin
Umeclidinium, Tiotropium, Aclidinium, Revefenacin
Signup and view all the flashcards
Anticholinergic Action
Anticholinergic Action
Signup and view all the flashcards
Anticholinergic Adverse Effects
Anticholinergic Adverse Effects
Signup and view all the flashcards
Anticholinergic Interventions
Anticholinergic Interventions
Signup and view all the flashcards
Anticholinergic Administration
Anticholinergic Administration
Signup and view all the flashcards
Parasympathetic System
Parasympathetic System
Signup and view all the flashcards
Study Notes
- Inhaled anticholinergics (muscarinic antagonists) treat airflow disorders.
- These medications relieve bronchoconstriction and reduce secretions in COPD patients.
- Medication selection is based on whether it’s for fast relief or long-term management.
Prototype and Other Medications
- Ipratropium is the prototype short-acting anticholinergic or muscarinic antagonists (SAMA) medication.
- Umeclidinium, tiotropium, aclidinium, and revefenacin are long-acting muscarinic antagonists (LAMA).
Expected Pharmacologic Action
- Anticholinergics affect the parasympathetic system, while beta2-adrenergic agonists affect the sympathetic system.
- The parasympathetic system uses acetylcholine to cause bronchoconstriction.
- Inhaled anticholinergics inhibit acetylcholine's action at the muscarine receptor.
- Anticholinergics block the muscarine receptor, inhibiting acetylcholine, resulting in bronchodilation.
Adverse Drug Reactions
- Adverse reactions are usually local, like dry mouth and pharyngeal irritation.
- Increased intraocular pressure can occur in those with narrow-angle glaucoma if systemic absorption is abundant.
- Other adverse reactions include urinary retention, tachycardia, headache, dizziness, blurred vision, epistaxis, bronchospasms, and hypotension.
Interventions
- Provide water and hard candy to ease dry mouth discomfort.
- Offer glaucoma testing and monitor urinary elimination patterns, especially in older adults.
Administration
- Administer via inhaler or nebulizer, following instructions, dosage limits, and schedule.
- Maintain the prescribed time between puffs.
- Wait at least 5 minutes after giving the anticholinergic before administering other inhalants.
- Provide water for rinsing the mouth due to unpleasant aftertaste.
Safety Alert
- Inhaled anticholinergics are not rescue medications for acute asthma exacerbations.
- They are labeled for use as bronchodilators for COPD.
Client Instructions
- Review possible side effects and ways to alleviate discomfort.
- Suggest sucking on hard candy and sipping water for dry mouth.
- Remind clients to have regular eye exams for glaucoma.
- Tell them to report any changes in urinary elimination to their provider.
Contraindications and Precautions
- Use caution when giving ipratropium to clients who have glaucoma, prostatic hyperplasia, bladder neck obstruction, or urinary retention.
- Closely monitor for worsening of these conditions.
Interactions
- Beta2-adrenergic agonists can enhance bronchodilation effects.
- The primary care provider should adjust the dosage of one of the medications if they are taken concurrently.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Inhaled anticholinergics, or muscarinic antagonists, treat airflow disorders by relieving bronchoconstriction and reducing secretions, especially in COPD. Drug selection depends on the need for quick relief versus long-term control. Prototype SAMA is ipratropium, while umeclidinium and others are LAMAs.
