Anticholinergic

Question 0

Therapeutic uses

Answer 0

●Dry up secretions – mostly pulmonary and salivary
●Decrease motility GI  and GU
●Dilation of pupils
●Parkinson disease symptom control
●Treat bronchospasm
●Treat cholinergic crisis

Question 1

Anticholinergics

Answer 1

●AKA parasympatholytic, antimuscarinic agents
●Mimics sympathetic effects
●Blocks Ach at muscarinic receptors

Question 2

Contraindications

Answer 2

●Narrow-angle glaucoma
●Myasthenia gravis
●Coronary artery disease (caution)

Question 3

Drug interaction

Answer 3

●Antihistamines
●Tricyclic antidepressants
●Antacids

Question 4

Adverse effects

Answer 4

●Dryness (mouth, eyes)
●Decreases GI and GU motility
●Hypertension
●Drowsiness, nervousness
●Blurred vision
●Palpitations
●Confusion

Question 5

Nursing implications

Answer 5

●Give antiacids one hour between anticholinergics
●Provide oral care
●Watch for sedative reaction with medication
●Watch for urinary retention, constipation
●Know how to properly give atropine