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NURS 5663 - week 2 module 1 Questions with
Detailed Verified Answers
Example of Muscarinic Agonist (3) Ans: Bethanechol
Cevimelin
Pilocarpine
main therapeutic use of muscarinic agonist? Ans: Urinary retention
off label use of muscarinic agonist Ans: GERD
CV adverse effect of muscarinic agonist Ans: hypotension and
bradycardia
which medication class has an adverse effect of excessive salivation
Ans: increase secretion of gastric acid, abd cramps, diarrhea, Muscarinic
agonist
muscarinic agonist is CI with which patients Ans: that may cause
ruptured bladder, patients with UTI or weak bladder wall
why does muscarinic agonist CI in pt w/ latent or active asthma Ans:
bronchoconstriction
Muscrarinic agonist are CI in pts with hyperthyroidism d/t what? Ans:
opposite effect due to reflex
Urinary adverse effects of muscarinic agonist Ans: increased bladder
pressure --> ruptured bladder
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how do you minimize adverse effects of muscarinic agonist? Ans: take
on empty stomach
what meds reduce adverse effects of muscarinic agonist Ans: atropine
toxicology mnemonic for muscarinic agonist (10) Ans: DUMBELS
(diaphoresis/diarrhea urination miosis
bradycardia/bronchospams/bronchorrhea, emesis, lacrimation, salivation)
muscarinic agonist that treats xerostomia and manages
keratoconjuctivitis sicca Ans: cevimeline
muscarinic agonist that is mainly used for topical therapy of glaucoma
Ans: pilocarpine
examples of muscarinic antagonist (4) Ans:
atropinescopolamineipratropium bromidedicyclomine
therapeutic goal for muscarinic antagonist Ans: treatment of
bradycardia/AV blockantidote to anticholinesterase
poisoningpreanesthetic medication
High risk patients for muscarinic antagonist (4) Ans: nonbradycardic
dysrthmias (tachydysrhythmias) and MIrisk for glaucomarisk for
myasthenia crisis in pts with myasthenia gravisurinary retention in BPH
how to minimize adverse effects of muscarinic antagonsit (5) Ans: dry
mouth - fluids/ saliva stimulants/ moisturizersphotophobia -
sunglassesurinary retention - cath or bethanecholconstipation - fluids and
fibertachycardia - monitor
scopolamine is like atropine Ans: but with 2 exceptions:, sedation, and
suppresses emesis and motion sickness
Ipratropium bromide is used in which respiratory dx (3) Ans: asthma,
copd, rhinits
Dicyclomine is indicated for what? (3) Ans: IBSDiarrheaHyper-motility
NURS 5663 - week 2 module 1 Questions with
Detailed Verified Answers
Example of Muscarinic Agonist (3) Ans: Bethanechol
Cevimelin
Pilocarpine
main therapeutic use of muscarinic agonist? Ans: Urinary retention
off label use of muscarinic agonist Ans: GERD
CV adverse effect of muscarinic agonist Ans: hypotension and
bradycardia
which medication class has an adverse effect of excessive salivation
Ans: increase secretion of gastric acid, abd cramps, diarrhea, Muscarinic
agonist
muscarinic agonist is CI with which patients Ans: that may cause
ruptured bladder, patients with UTI or weak bladder wall
why does muscarinic agonist CI in pt w/ latent or active asthma Ans:
bronchoconstriction
Muscrarinic agonist are CI in pts with hyperthyroidism d/t what? Ans:
opposite effect due to reflex
Urinary adverse effects of muscarinic agonist Ans: increased bladder
pressure --> ruptured bladder
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how do you minimize adverse effects of muscarinic agonist? Ans: take
on empty stomach
what meds reduce adverse effects of muscarinic agonist Ans: atropine
toxicology mnemonic for muscarinic agonist (10) Ans: DUMBELS
(diaphoresis/diarrhea urination miosis
bradycardia/bronchospams/bronchorrhea, emesis, lacrimation, salivation)
muscarinic agonist that treats xerostomia and manages
keratoconjuctivitis sicca Ans: cevimeline
muscarinic agonist that is mainly used for topical therapy of glaucoma
Ans: pilocarpine
examples of muscarinic antagonist (4) Ans:
atropinescopolamineipratropium bromidedicyclomine
therapeutic goal for muscarinic antagonist Ans: treatment of
bradycardia/AV blockantidote to anticholinesterase
poisoningpreanesthetic medication
High risk patients for muscarinic antagonist (4) Ans: nonbradycardic
dysrthmias (tachydysrhythmias) and MIrisk for glaucomarisk for
myasthenia crisis in pts with myasthenia gravisurinary retention in BPH
how to minimize adverse effects of muscarinic antagonsit (5) Ans: dry
mouth - fluids/ saliva stimulants/ moisturizersphotophobia -
sunglassesurinary retention - cath or bethanecholconstipation - fluids and
fibertachycardia - monitor
scopolamine is like atropine Ans: but with 2 exceptions:, sedation, and
suppresses emesis and motion sickness
Ipratropium bromide is used in which respiratory dx (3) Ans: asthma,
copd, rhinits
Dicyclomine is indicated for what? (3) Ans: IBSDiarrheaHyper-motility
