Cholinergic Blocking Drugs

Question 1

Anticholinergic

Answer 1

Blocks the neurotransmission of the parasympathetic nervous system

Question 2

Cholinergic blocking

Answer 2

Blocked the effect of the parasympathetic branch of the ANS

Question 3

Cycloplegia

Answer 3

Paralysis of the ciliary muscle, resulting in an inability to focus the eye

Question 4

Mydriasis

Answer 4

Dilation of the pupil

Question 5

Parasympatholytic

Answer 5

Blocking the parasympathetic nervous system

Question 6

Xerostomia

Answer 6

Drying of oral secretions

Question 7

Cholinergic blocking drugs MOA

Answer 7

Inhibit activity of acetylcholine at the parasympathetic nerve synapse, so that impulses traveling along the parasympathetic nerve can’t pass from the nerve endings to an organ or structure

Question 8

Side effects of cholinergic blocking drugs in elderly

Answer 8

Excitement, agitation, mental confusion, drowsiness, urinary retention

Question 9

Cholinergic blocking drugs uses

Answer 9

Uretersl or biliary Colin and bladder overactivity, pylorospasm, peptic ulcer, vagal nerve induced bradycardia, and Parkinsonism, and preoperative reduction of oral secretions

Question 10

Severity of adverse reactions of cholinergic blocking drugs is dependent on

Answer 10

Dose

Question 11

Cholinergic blocking drugs GI side effects

Answer 11

Dry mouth, nausea, vomiting, difficulty swallowing, heartburn, constipation

Question 12

Cholinergic blocking drugs CNS system side effects

Answer 12

Headache, flushing, nervousness, drowsiness, weakness, insomnia, nasal congestion, fever

Question 13

Cholinergic blocking drugs visual reactions

Answer 13

Blurred vision, mydriasis, photophobia, cycloplegia, increased ocular tension

Question 14

Cholinergic blocking drugs genitourinary system side effects

Answer 14

Urinary hesitancy and retention, dysuria

Question 15

Cholinergic blocking drugs cardiovascular system side effects

Answer 15

Palpitations, Brady cardia (after low doses of atropine), tachycardia (after high doses of atropine)

Question 16

Cholinergic blocking drugs side effects general

Answer 16

Urticaria, decreased sweat production, anaphylactic shock, rash

Question 17

Patients taking cholinergic blocking drugs in hot summer months should watch for

Answer 17

Signs of heat prostration (fever, tachycardia, flushing, warm and dry skin, mental confusion)

Question 18

Cholinergic blocking drugs contraindications

Answer 18

Glaucoma, myasthenia gravis, tachyarrhythmia, myocardial infarction, and heart failure (unless bradycardia is present)

Question 19

Cholinergic blocking drugs precautions

Answer 19

GI infections, benign prostatic hypertrophy, urinary retention, hyperthyroidism, hepatic or renal disease, and hypertension, pregnancy (cat C)

Question 20

Atropine precautions

Answer 20

Asthma

Question 21

Cholinergic blocking drugs interactions

Answer 21

Decreased effectiveness of antibiotics and antifungals, meperidine, flurazepam, phenothiazines and TCAs decrease effect of cholinergic blocker, decrease effectiveness of haloperidol, increased serum levels of digoxin

Question 22

Cholinergic blocking drugs ex

Answer 22

Atropine, dicyclomine, glycopyrrolate, mepenzolate, methscopolamine, propantheline, scopolamine, trimethobenzamide

Question 23

Cholinergic blocking urinary antipasmodics ex

Answer 23

Darifenacin, fesoterodine, flavoxate, oxybutynin, solifenacin, tolterodine, trospium

Question 24

Cholinergic blocking drugs for Parkinson’s disease

Answer 24

Benztropine mesylate, diphenhydramine, trihexyphenidyl

Question 25

Cholinergic blocking drugs for acute respiratory symptom relief

Answer 25

Aclidinium, ipratropium, tiotroplum, umeclidinium