Ch 21 (test 4)

Question 1

Anticholinergic agents

Answer 1

1. block the effects of the PSN system. Blocks Ach at the muscarinic receptors. Therefore, a cholinergic action does not occur.
2. parasympatholytic agent

Question 2

Atropine (belladonna/nightshade)

Answer 2

1. Most widely used anticholinergic drug (antidote for cholinergic drugs)
2. therapeutic use:
   increase HR treating bradycardia
   decrease secretions pre-op
3. SE:
   dry mouth
   constipation/urinary retention
   tachycardia
4. implementation:
   monitor HR and urinary output
   frequent mouth care

Question 3

Detrol

Answer 3

1. anticholinergic drug
2. treats urinary frequency/urgency, stress incontinence do to overactive bladder
3. gotta go gotta go.

Question 4

Patients who are on anticholinergics should be monitored for

Answer 4

DRYING EFFECTS

constipation, urinary retention, hot/dry skin, and fever.