Cholinergic Drugs Flashcards
Acetylchoninesterase
Enzyme that can inactivate the neurotransmitter acetylcholine
Cholinergic crisis
Cholinergic drug toxicity
Micturition
Voiding of urine
Miosis
Constriction of the pupil if the eye
Muscarinic receptor
Neurological receptors that stimulate smooth muscle in the parasympathetic branch of the ANS
Myasthenia gravis
Neuromuscular condition characterized by weakness and fatigability of the muscles
Nicotinic receptors
Neurological receptors that stimulate skeletal muscles in the parasympathetic branch of the ANS
Parasympathomimetic
Mimic the activity of the parasympathetic nervous system
Direct acting cholinergic MOA
Act like the neurotransmitter acetylcholine
Direct acting cholinergic uses
Urinary retention
Indirect acting cholinergic
Drugs that prolong the activity of acetylcholine
Anti cholinesterase drugs use
Symptoms of myasthenia gravis
Cholinergic drugs uses
Urinary retention and myasthenia gravis
Cholinergic Drugs side effects
Nausea, diarrhea, abdominal cramps, salivation, flushing of the skin, cardiac arrhythmias, muscle weakness
Cholinergic Drugs contraindications
Asthma,peptic ulcer disease, coronary artery disease, and hyperthyroidism
Bethanechol contraindications
Mechanical obstruction of the GI or genitourinary tracts
Ophthalmic cholinergic preparations contraindications
Secondary glaucoma,iritis, corneal abrasion, or any acute inflammatory eye disease
Cholinergic Drugs precautions
Hypertension, epilepsy, cardiac arrhythmias, bradycardia, recent coronary occlusion, and megacolon, pregnancy (cat C), lactation, or in children
Cholinergic Drugs interactions
Aminoglycosides increase neuromuscular blocking effect, corticosteroids decrease effect of cholinergic, multiple cholinergic drugs become synergistic, use with anticholinergic drugs becomes antagonistic
Antidote for overdose of cholinergic drugs
Atropine
Cholinergic Drug overdosage signs
Muscle rigidity and spasm, salivation, and clenching of the jaw
Cholinergic underdosage signs
Rapid fatigability if the muscles, drooping of the eyelids, difficulty breathing
Cholinergic drugs ex direct acting
Bethanechol
Indirect acting cholinergic drugs ex
Edrophonium, guanidine, pyridostigamine