respiratory: inhaled anticholinergics

Question 1

inhaled anticholinergics MOA

Answer 1

block muscarine receptors of the bronchi resulting in bronchodilator

Question 2

inhaled anticholinergics common meds, route, therapeutic use

Answer 2

ipratropium
tiotropium

route: inhalation

Therapeutic use: relieve bronchospasm (COPD/ asthma)

Question 3

inhaled anticholinergics complications

Answer 3

complications:

• dry mouth
• hoarseness

Question 4

inhaled anticholinergics nursing impications

Answer 4

• asses resp status before and after
• multiple inhalers: use bronchodilators first, anitcholingerics, followed by corticosteroids
• teach proper inhaler use
• avoid with atropine and belladonna alkaloids allergies
• pt. report low urine output
• have pt. be checked for glaucoma

Question 5

inhaled anticholinergics pt. teaching

Answer 5

• instruct in proper inhaler use
• take missed doses as soon as remembered unless it almost time for next dose
• rinse mouth, suck on gym or sugarless hard candy to avoid dry mouth
• do not exceed 12 doses in 24 hours
• call provider if symptoms do not improve in 30 mins
• notify your provider if you have nervousness, headache, dizziness, nausea

Question 6

contraindications

Answer 6

• peanut allergies

- caution with narrow-angle glaucoma and benign prostatic hyperplasia

Question 7

interactions

Answer 7

other meds that have anticholinergic properties (atropine, glycopyrrolate, propantheline, scopolamine)