CHOLINERGIC AGONIST AND ANTAGONIST (EXAM2) Flashcards

(29 cards)

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
atropine action
increases heart rate pupil dilation decrease GI motility and gastric secretions
26
side effects of atropine (anticholinergic)
tachycardia blurred vision photophobia
27
what are some nursing intervention with a patient who is taking an anticholinergic
urinary retention patient is fall risk because of decreased visual acuity hypertension
28
SLUDGE cholinergic
increase Salvation Lacrimation Urinary incontinence Diarrhea Gastrointestinal cramps Emesis
29
SLUDGE anticholinergic
decrease Salvation Lacrimation Urinary incontinence Diarrhea Gastrointestinal cramps Emesis