CHOLINERGIC AGONIST AND ANTAGONIST (EXAM2) Flashcards

1
Q

what is the main function of an cholinergic agonist drug

A

they stimulate the parasympathetic nervous system

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2
Q

what drug do cholinergic agonist mimic

A

acetylcholine

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3
Q

what are the 2 receptors for cholinergic receptors

A

muscarinic
nicotinic

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4
Q

what are the types of cholinergic agonist

A

direct acting
indirect acting

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5
Q

direct acting cholinergic

A

acts on receptors to activate tissue response
target specific sites

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6
Q

indirect acting cholinergic agonist

A

inhibit action of enzyme cholinesterase

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7
Q

the effect of cholinergic agonist on the cardiovascular system

A

-ITS ALL PAARSYMPATHETIC
-decrease BP, HR
-vasodilation
-slow conduction of the AV node

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8
Q

cholinergic agonist and GI

A

-increase muscle tone, motility, peristalsis, and relax muscle sphincter
-active bowel sounds

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9
Q

cholinergic agonist and GU

A

-Increase urine output

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10
Q

cholinergic agonist and eyes

A

constriction

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11
Q

cholinergic agonist and lungs

A

bronchial constriction
increase in secretion

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12
Q

with cholinergic agonist what kind of cough is there

A

productive cough from the increase in secretion

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13
Q

Indirect acting cholinergic function

A

they inhibit the cholinesterase enzyme
-allow acetylcholine to accumulate at receptor sites

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14
Q

Indirect acting cholinergic effects

A

-muscle contraction
-increased muscle tone
-bronchial constriction
-bradycardia
-miosis
-increased GI motility
-promote urination

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15
Q

Cholinergic antagonist

A

the stop the effects of acetylcholine by occupying the acetylcholine receptors

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16
Q

Anticholinergics and the heart

A

-large doses cause an increase HR
-small doses decrease HR

17
Q

Anticholinergics and the lungs

A

-bronchodilation
-decrease secretion

18
Q

Anticholinergics and GI

A

-relaxes the smooth muscle tone
-decrease motility
-decrease peristalsis and secretions
-CONSTIPATION

19
Q

Anticholinergic effects

A

decrease secretion
less movement
constipation

20
Q

Anticholinergic and the eye

A

dilate
decrease in accommodation

21
Q

Anticholinergics and exocrine gland

A

dry mouth
decrease salvation and perspiration

22
Q

Anticholinergic and CNS

A

decrease in tremors and rigidity of muscles

23
Q

Since anticholinergics decrease tremors and rigidity of muscles what can it be given for

A

Parkinson disease

24
Q

Atropine is an example of a what

A

anticholinergic

25
Q

atropine action

A

increases heart rate
pupil dilation
decrease GI motility and gastric secretions

26
Q

side effects of atropine (anticholinergic)

A

tachycardia
blurred vision
photophobia

27
Q

what are some nursing intervention with a patient who is taking an anticholinergic

A

urinary retention
patient is fall risk because of decreased visual acuity
hypertension

28
Q

SLUDGE
cholinergic

A

increase
Salvation
Lacrimation
Urinary incontinence
Diarrhea
Gastrointestinal cramps
Emesis

29
Q

SLUDGE
anticholinergic

A

decrease
Salvation
Lacrimation
Urinary incontinence
Diarrhea
Gastrointestinal cramps
Emesis