Anticholinergic Flashcards
1
Q
Anticholinergic is?
A
Ipratropium
- Bronchodilator
2
Q
MEchanism of actions
A
Block the action of acetylcholine
a. Parasympathetic sites
- Causes bronchodilation
3
Q
Off label
A
Acute asthma (exacerbation)
4
Q
Anticholinergic s/e
A
decrease secretion
decrease urination
decrease peristalsis
Dilated pupils
5
Q
nx. Responsibilities assessment
A
- Ausculatate lung sounds
- Question Hx:
- Glucoma
- Urinary retention - Myasthenia gravis
6
Q
In nasal spray
A
Monitor rhinorrhea
7
Q
Pt. family teaching
A
- Increase OFI
- don’t 2 ihalations at a time
- rinse mouth
- don’t drink caffeine
8
Q
Methylxanthines example
A
Aminophylline
Theophylline
9
Q
Aminophylline
Theophylline
A
T : C Bronchodilators
10
Q
Mechanism of actions
A
- Relax smooth muscle:
Bronchial airway and pulmonary blood vessels
-reduces airway responsiveness to histamine etc.
11
Q
Alert:
A
Done use in extended release preparation to treat acute bronchospasm
12
Q
Warning:
A
- Monitor serum theophylline level
decrease dosage if e xceed therapeutic range is 10-15 mcg/ml
13
Q
A
