3.4 Cholinergic Blocking Agents Flashcards

1
Q

The function of cholinergic blocking agents is…

A

To block/inhibit the actions of ACh in the parasympathetic nervous system

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2
Q

Cholinergic blocking agents are AKA…

A

Parasympatholytics

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3
Q

Parasympatholytics are similar to…

A

Sympathomimetics

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4
Q

Anticholinergic drugs work to _____ acetylcholine at the _______ receptors

A

block, muscarinic

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5
Q

Cholinergic blockers are known as what kind of antagonist?

A

Competitive

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6
Q

Anticholinergic Respiratory effects on the respiratory system include…

A

Decreases secretions from:
- nose,
- mouth
- pharynx
- bronchi

Relaxes smooth muscles in:
- bronchi and bronchioles

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7
Q

Respiratory anticholinergic agents are used to treat…

A

Exercise-induced bronchospasms
Chronic bronchitis
Asthma
Chronic obstructive pulmonary disease (COPD)

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8
Q

The parasympathetic nervous system controls which aspects of the GI tract?

A

gastric secretions and smooth muscles that produce gastric motility

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9
Q

Anticholinergic effects on the GI tract include:

A
  • Decreased secretions
  • Relaxation of smooth muscle
  • Decreased GI motility and peristalsis (reduce diarrhea)
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10
Q

Gastrointestinal anticholinergic agents are used to treat…

A
  • Peptic ulcer disease
  • Irritable bowel disease
  • GI hypersecretory states
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11
Q

What are the effects of anticholinergic agents on the Genitourinary system?

A
  • Relaxed detrusor muscles of the bladder
  • Increased constriction of the internal sphincter
  • Reflex neurogenic bladder
  • Incontinence
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12
Q

Symptoms of anticholinergic toxicity

HDRMB

A

Hot as a Hare:
Dry as a Bone: dries up secretions
Red as a Beet:
Mad as a Hatter: delusional
Blind as a Bat: dilated pupils

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13
Q

Which anticholinergic drug is used primarily in the management of CV disorders such as symptomatic bradycardia, and in relaxing the ciliary muscle of the eye?

A

Atropine

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14
Q

Which anticholinergic drug is used to prevent n+v and motion sickness?

A

Scopolamine

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15
Q

Which anticholinergic drug is mainly used to treat the symptoms of chronic obstructive pulmonary disease and asthma

A

Ipratropium/atrovent

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16
Q

Which anticholinergic drug is mainly used to treat an overactive bladder?

A

Oxybutynin

17
Q

Which anticholinergic drug is used to treat movement disorders like parkinsonism and dystonia?

A

Benztropine

18
Q

Which side effect caused by cholinergic-blocking drugs would make it hard to operate cars and other machinery?

A

Blurred vision

19
Q

Why might a client on cholinergic-blocking drugs want to wear sunglasses?

A

They could experience sensitivity to light

20
Q

What is the risk regarding geriatric clients on anticholinergic drugs?

A

heatstroke due to effects on heat-regulating mechanisms

21
Q

Clients on cholinergic-blocking drugs should limit what 3 things?

A

Strenuous exercise
Excess heat
Physical exertion

22
Q

Nurses should enforce the importance of ______ and ______ intake

A

fluid, salt

23
Q

What are some therapeutic effects of cholinergic-blocking drugs for Parkinson’s clients?

A

fewer tremors and decreased salivation
and drooling

24
Q

What are some therapeutic effects of cholinergic-blocking drugs for clients with peptic ulcer disease?

A

decreased abdominal pain

25
Q

What are some therapeutic effects of cholinergic-blocking drugs for clients with urological diseases?

A

improved urinary patterns, less hypermotility, increased time between voiding