cholinergic agonists and antagonists

Question 1

what is the major response of cholinergic agonist

Answer 1

stimulate bladder and GI tone, constrict pupils and increase NM transmission

Question 2

what are some other effects of cholinergic agonist

Answer 2

decrease HR and BP
increase salivary, GI, and broncial secretions

Question 3

what is our cholinergic drug

Answer 3

Bethanechol

Question 4

what is bethanechol used for

Answer 4

treat urinary retention and neurogenic bladder

Question 5

what is the CI for bethanechol

Answer 5

intestianl or urinary tract obsturction
IBS
asthma
bradycardia
hypotension
asthma

Question 6

what are some adverse reactions to bethanechol

Answer 6

hypotension
tachycardia
bronchoconstriction
wheezing
seizures

Question 7

what should you asses before admin of cholinergic agonist and why

Answer 7

VS-to compare
UO-bc this drug is for urinary retention
pt hx-for peptic ulcer, urinary obstruction or asthma bc this drug can aggrivate the symptoms

Question 8

what should you monitor when giving cholinergic agonist and why

Answer 8

HR and BP- cna decrease in large doses and ortho hypo is a AR
monitor and record UO- decrease in UO could mean obstuction

Question 9

what lab values should you monitor for when giving cholinergic agonist

Answer 9

amylase
lipase
AST
bilirubin

Question 10

What should you listen for when giving cholinergic agonist

Answer 10

breath sounds
rales and crackles- fluid congestion in lungs
ronchi and rough sounds-mucous secretions in lungs

Question 11

what is the antidote for bethanechol

Answer 11

atropine

Question 12

what are the early sings of a cholinergic overdose

Answer 12

flushing
salivation
sweating
nausea
abd cramps

Question 13

what should you teach a pt who is taking a cholinergic agonist

Answer 13

rise slowly from lying position to avoid dizziness
report any difficulty breathing
take on empty stomach
report increase in muscle weakness or salivation

Question 14

how should a pt take bethanechol

Answer 14

1hr before or 2hr after meal

Question 15

what is the drug class for atropine

Answer 15

anticholinergic

Question 16

what is atropine used for

Answer 16

preop med to decrease salivation
increase HR for bradycardia
NM blocaked reversal
cholinergic crisis
dilate pupils for eye exam

Question 17

what VS is imporant to note when giving atropine

Answer 17

HR bc tachycardia is a SE

Question 18

what are some contraindications for atropine

Answer 18

narrow angle glaucome
obstuctive GI disorders
paralytic ileus
ulceritive colitis
benign prostatic hypertrophy
myasthenia gravis

Question 19

what should you monitor when giving atropine

Answer 19

VS- tachy can occur(report)
I and O-can decrease UO
bowel sounds-no sounds could be from paralytic ileus from GI motility

Question 20

what are some NI for atropine

Answer 20

use bed alarm for pt who are confused
oral care bc of the decrease in oral secretionsw

Question 21

what should you teach a pt who is taking atropine

Answer 21

avoid hot environ. and excess physical exertion
void before taking med