Anticholinergic

Question 1

Anticholinergic Drug Names

Answer 1

Ipratropium
Tiotropium

Aclidinium
Umeclidinium

Question 2

Anticholinergic Therapeutic Actions

Answer 2

• Blocks the vagal effects leading to relaxation of smooth muscles in bronchi (bronchodilation)

Question 3

Anticholinergic Indications

Answer 3

• Maintenance treatment of bronchospasm associated with COPD

Question 4

Anticholinergic Contraindications and Cautions

Answer 4

Caution:
• Any condition that would be aggravated by the anticholinergic effects of the drug
• Not fir acute episodes on bronchospasm requiring immediate intervention
• Pregnancy and lactation

Question 5

Anticholinergic DDI

Answer 5

DDI:

• Other anticholinergics

Question 6

Anticholinergic Adverse Effects

Answer 6

• Related to the anticholinergic effects of the drug
- Dizziness, headache, fatigue, nervousness, dry mouth, sore throat, palpitations, and urinary retention
• Paradoxical bronchoconstriction

Question 7

Anticholinergic:

Assessment

Answer 7

Assess:
Hx: allergy to drug, atropine, anticholinergics, Pregnancy and lactation
Physical: vital signs, skin, CNS, Urinary output, lung sounds and RR (baseline)
Labs:

Question 8

Anticholinergic:

Diagnosis

Answer 8

Dx:

• Acute pain
• Imbalanced nutrition
• Deficient knowledge

Question 9

Anticholinergic:

Implementation

Answer 9

Implementation:
•	Adequate hydration
•	Environmental controls
•	Void prior to med administration 
•	Safety measures
•	 Small, frequent meals; sugarless lozenges
•	Injury prevention
•	Provide thorough patient teaching

Question 10

Anticholinergic:

Diagnosis

Answer 10

Eval:
Response to the drug 
Adverse effects 
Effectiveness of comfort measures Compliance with the regimen
Effectiveness of the teaching plan