Antihyperlipidemic & Vasodilators - Unit 6 PDF

Antihyperlipidemic & Vasodilators - Unit 6 Cholinergic Agonists Unit 4 NUR 210/BSL 101  Antihyperlipidemic & Vasodilators - Unit 6 Cholinergic Agonists Stimulate the parasympathetic nervous system Mimic the neurotransmitter acetylcholine Muscarinic receptors Affect smoo...

Antihyperlipidemic & Vasodilators - Unit 6 Cholinergic Agonists Unit 4 NUR 210/BSL 101  Antihyperlipidemic & Vasodilators - Unit 6 Cholinergic Agonists Stimulate the parasympathetic nervous system Mimic the neurotransmitter acetylcholine Muscarinic receptors Affect smooth muscles, slow heart rate Nicotinic receptors Affect skeletal muscles  Antihyperlipidemic & Vasodilators - Unit 6 Effects of Cholinergic Agonists Eye Constricts pupil Lungs Constricts bronchioles, increases secretions Heart and Blood vessels Decreased heart rate and dilated blood vessels Gastrointestinal Increases peristalsis and secretions Bladder Constricts the bladder Salivary and sweat glands Increases secretions  Antihyperlipidemic & Vasodilators - Unit 6 Cholinergic Agonist ? Bethanechol Chloride Action Stimulates the cholinergic receptors This stimulation causes contraction of the bladder Other actions Increases GI secretions and peristalsis Increases bronchial secretions and bronchoconstriction Constricts pupils Uses Treats urinary retention  Antihyperlipidemic & Vasodilators - Unit 6 Cholinergic Agonist ? Bethanechol Chloride Side Effects/Adverse reactions Blurred vision Increased secretions ? lungs, GI tract, sweat Orthostatic hypotension Bronchoconstriction Hypotension, Tachycardia  Antihyperlipidemic & Vasodilators - Unit 6 Cholinergic Agonist ? Bethanechol Chloride Assessment Vital signs Assess urine output Medication/medical history  Antihyperlipidemic & Vasodilators - Unit 6 Cholinergic Agonist ? Bethanechol Chloride Interventions Monitor vital signs ? watch for a decrease in BP and pulse Monitor lung sounds Monitor GI/GU status Monitor and record intake & output Give 1 hour before or two hours after meals Monitor for overdose Signs and symptoms include muscular weakness & increased salivation Antagonist - Atropine  Antihyperlipidemic & Vasodilators - Unit 6 Cholinergic Agonist ? Bethanechol Chloride Teach client to Monitor their blood pressure and heart rate and parameters to report Rise slowly from a lying position to prevent orthostatic hypotension Take on an empty stomach one hour before or two hours after meals Report increased muscle weakness or salivation Evaluations Client able to empty bladder  Antihyperlipidemic & Vasodilators - Unit 6 Cholinergic Agonist - Pilocarpine Action Constricts the pupil which opens the canal of Schlemm to promote drainage of the aqueous humor Uses Decrease pressure in the eye in diseases such as glaucoma Given as eye drops ? review for proper eye drop administration