Anticholinergics

Question 1

Drug names in this category… (4)

Answer 1

-Ipratropium
-Tiotropium
-Aclidinium
-Umeclidinium

Question 2

What do Anticholinergics do?

Answer 2

-Bronchodilate
-Blocks the vagal effect leading to relaxation of smooth muscle in Bronchi

Question 3

Why do we give Anticholinergics?

Answer 3

-Used as a maintenance drug for COPD.

Question 4

Cautions of Anticholinergics

Answer 4

-Any condition aggravated by the anticholinergic effects

Question 5

ABSOLUTE contradictions of Anticholinergics

Answer 5

-Allergy
-Acute bronchospasm that require immediate intervention

Question 6

Adverse effects of Anticholinergics

Answer 6

-Dry mouth, sore throat, hoarseness
-Dizziness, headache, fatigue,
urinary retention, and palpations
-PARADOXICAL bronchoconstriction

Question 7

DRUG/DRUG interactions

Answer 7

-Other anticholinergics

Question 8

Implementation of Anticholinergics

Answer 8

-Void prior to administration
-Safety measures for CNS effects
Comfort measures
–>small, frequent meals,
–>sugarless lozenges
–>humidification
–>hydration
–>patient teaching