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35 Cards in this Set
- Front
- Back
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List 9 Anticholinergic meds.
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1. Propantheline bromide (Pro-Banthine)
2. Belladonna 3. Atropine sulfate 4. Iproproprium (Atrovent) 5. Tiotropium (Spiriva) 6. Iprotorprium plus Albuterol (Atrovent, DuoNeb) 7. Benztropine (Cogentin) 8. Trihexyphenydil (Artane) 9. Scopolamine (Transderm-Scop) |
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What is Pro-Banthine (popantheline bromide) used for? (2)
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1. urinary incontinence
2. peptic ulcer dz |
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When should you give Pro-Banthine?
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30 min ac
for night dose, give at least 2hr after last meal |
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Potential s.e. of Pro-banthine (2)?
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1. decreased gastric motility
2. decreased effect of vagus nerve |
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What should you particularly monitor after admin Pro-Banthine?
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1. VS
2. I&O |
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2 side effects of Belladonna?
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1. dry mouth
2. vertigo |
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When does Belladonna have a peak action?
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2 hr after taking it
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What is the major use for atropine sulfate?
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to tx bradycardia
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When should atropine sulfate be given?
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PO, 30 min before meals
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Prior to administering atropine sulfate, what dz should you check in the pt's hx? (3)
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hx of:
1. asthma 2. glaucoma 3. HTN |
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After giving atropine sulfate, what should you monitor?
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1. I&O
2. orientation |
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When giving atropine sulfate in a nonemergency situation, what should you make sure of prior to administration?
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that the patient has VOIDED first
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What are 3 expected (normal) side effects of atropine sulfate? (3)
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1. dry mouth
2. increased respiration 3. increased HR |
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Why should a pt who is given atropine sulfate avoid the heat?
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perspiration ability is decreased .:. avoid heat
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What is the ATROPINE ANTIDOTE?
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physostigimine salicylate
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9 potential side effects of atropine (v. representative of anticholinergic meds)
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1. tachycardia
2. headache 3. blurred vision 4. insomnia 5. dry mouth 6. dizziness 7. urinary retention 8. angina 9. mydriasis |
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List 3 meds that are used for BRONCHOSPASM and long-term tx of asthma?
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1. Ipopropium (Atrovent)
2. Tiotropium (Spiriva) 3. Ipotropium plus albuterol (Atrovent, DuoNeb) |
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How is Ipoproprium (Atrovent) administered?
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aerosol or in nebulizer
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How is tiotropium (Spiriva) administered?
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in powder form (HandiHaler)
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2 s.e. of Atrovent, Spiriva, and DuoNeb?
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1. dry mouth
2. pharynx irritation |
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List 2 anticholinergic meds that are used to tx Parkinson's dz.
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1. Benztropine (Cogentin)
2. Trihexyphenydil (Artane) |
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Which precautions should parkinson pt (ie, those on Cogentin and Artane) be on?
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orthostatic hypotension precautions
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What lifestyle changes should pt on Cogentin & Artane make? (3)
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1. increase fluids
2. increase bulk foods 3. increase exercise |
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Should you stop Cogentin or Artane abruptly?
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NO, taper before discontinuing
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4 s.e. of Cogentin & Artane.
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1. urinary retention
2. blurred vision 3. dry mouth 4. C |
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4 uses for Scopolamine (Transderm-Scop)
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1. motion sickness
2. vertigo 3. mydriasis (for opthalmic exam) 4. pre-op for dry secretions |
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What is mydriasis?
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dilation of pupil
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What dz is CI w/ Scopolamine?
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acute angle glaucoma
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5 s.e. of scopolamine?
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1. urinary ret
2. blurred vision 3. dry mouth 4. C 5. confusion & sedation |
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What is the MOA of anticholinergic meds?
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compete w/ Ach receptor sites in the ANS
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What are the actions of anticholinergic meds? (3)
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1. eyes:
-relaxation of ciliary muscles (cycloplegia) -dilation of pupil (mydriasis) 2. lungs: -bronchodilation -decreases bronchial secretions 3. GI: -decreases mobility -decreases GI secretions |
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3 indications for atropine?
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1. bradycardia
2. mydriasis for opthalmic exam 3. pre-op to dry secretions |
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4 common side effects of anticholinergic meds?
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1. blurred vision
2. dry mouth 3. urinary retention 4. changes in HR |
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In which pt are anticholinergic meds CI?
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pt w/ glaucoma should NOT take anticholinergic meds
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In pt on anticholinergic meds, what should a pt monitor for?
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urinary retention
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