Anticholinergics

Question 1

Actions

Answer 1

Blocks the vagal effect leading to relaxation of smooth muscle in bronchi (bronchodilation)

Question 2

Indications

Answer 2

Maintenance treatment of bronchospasm associated with COPD

Question 3

Drug names

Answer 3

“-tropium”
Ipratropium
Tiotropium

“-clidinium”
Aclidinium
Umeclidinium

Question 4

Caution

Answer 4

Any condition that would be aggravated by the anticholinergic effects of the drug

Not for acute episodes of bronchospasm requiring immediate intervention

Pregnancy and lactation

Question 5

Adverse Effects

Answer 5

Related to the anticholinergic effects of the drug

Dizziness, headache, fatigue, nervousness, dry mouth, sore throat, palpitations, and urinary retention

Paradoxical bronchoconstriction

Question 6

Assessment

Answer 6

History
Allergy to drug, atropine, anticholinergics
Conditions that are contraindications or cautions
Pregnancy and lactation

Physical
Skin assessment
CNS: Orientation, affect, and reflexes
CV: pulse and B/P
Urinary output
Lung sounds and respirations

Question 7

Diagnosis

Answer 7

Acute pain

Imbalanced nutrition: less than body requirements

Deficient knowledge

Question 8

Imlementation

Answer 8

Adequate hydration

Environmental controls

Void prior to med administration

Safety measures

Small, frequent meals; sugarless lozenges

Injury prevention

Patient teaching