Anticholinergic Meds Flashcards
Propantheline bromide
Adverse Effects
Decreased gastric motility
Decreased effect on vagus nerve
Propantheline bromide
Nursing Considerations
Used for urinary incontinence and peptic ulcer disease
Give 30 min ac ( before a meal) Give hs dose ( at bedtime) at least 2 hr after last meal. monitor vital signs, I & O
Belladonna
adverse effects
Dry mouth, vertigo
Belladonna
Nursing Considerations
Action peaks in 2 hours
Atropine sulfate
adverse effects
Tachycardia, headache, blurred vision, insomnia, dry mouth, dizziness, urinary retention, angine, mydriasis( pupil dilation)
Atropine sulfate
Nursing Considerations
Used for bradycardia. When given PO give 30 min before meals. Check History of galucoma, asthma, hypertension. Monitor I&O, Orientation. When given in non-emergency situations make certain client voids before taking drug. Educate client to expect dry mouth, increased respiration and heart rate. Client should avoid heat ( perspiration is decreased). ANTIDOTE: Physostigmine salicylate
Iproproprium, Tiotropium
Iproproprium plus albuterol
Adverse Effects
Dry mouth
Irritation of pharynx
Iproproprium
Tiotropium
Iproproprium plus albuterol
Nursing Considerations
Used for bronchospasm and long term treatment of asthma. Iproproprium administered as aerosol or in nebulizer. Tiotropium administered in powder form by Handihaler.
Benztropine
Trihexyphenidyl
Adverse Effects
Urinary retention, blurred vision dry mouth, constipation.
Benztropine
Trihexyphenidyl
Nursing Considerations
Used for Parkinson’s Disease. Increase fluids, bulk foods, and exercise. Taper before discontinuation. Orthostatic hypotension precautions.
Scopolamine
Adverse Effects
Urinary retention, blurred vision dry mouth, constipation, Confusion and sedation.
Scopolamine
Nursing Considerations
Used for motion sickness. Contraindicated in acute angle glaucoma.
Anticholinergic Medications
Actions
Competes with acetylcholine at receptor sites in autonomic nervous system; causes relaxation of ciliary muscles ( cycloplegia) and dilation of pupil (mydriasis); causes bronchodilation and decreases bronchial secretions, decreases mobility and GI secretions.
Anticholinergic Medications
Indications
ATROPINE: bradycardia, mydriasis for ophthalmic exam, preoperatively to dry secretions.
SCOPOLAMINE: motion sickness, vertigo, mydriasis for ophthalmic exam, preoperative to dry secretions.
Anticholinergic Medications
Adverse Effects
Blurred vision, dry mouth, Urinary retention, Changes in heart rate
