UTA NURS 3365 Exam
3 Module 10 & 11(93
questions and
answers)
Cholinergic Meds ____ PNS & block the _____. - answer
stimulate PNS, and block the SNS
Anti-Cholinergic Meds inhibit _____ & stimulate ______ -
answer PNS, and stimulate SNS
Bethanechol (ACM) MOA & contra - answer MOA=contracts
bladder, used for POSTOPERATIVE URINARY RETENSION b4
surgery postpardom
contra= bradycardia, hypotension, Asthma/COPD, peptic
ulcer, parkinsonism
Bethanechol SE - answer SE= blurred vision, miosis,
hypotension, sweating, bradycardia, INCR salivation, N/V,
diarrhea, ABD cramps, bronchocontriction
Pyridostigmine is what type of drug and used for what? -
answer Cholinesterase inhibitor used for MG, it stimulates
skeletal muscles, and helps incr muscle tone.
,Indirect acting cholinergic example drugs MOA? - answer
Donepezil, Rivastigmine are indirect acting cholinesterase
drugs (cholinesterase inhibitors)
MOA=inhibit cholinestrase enzyme into choline and acetic
acid, it prevents the breakdown so MORE acetylcholine in
body. They will slow down the progression of Alzheimers.
What is used to test for MG? - answer You use
Androphonerum, a POSITIVE tensilon test indicates MG
With MG a patient is at risk for what? - answer At risk for
falls cuz weak muscles so use caution and use bed rails
What is a contraindication with Indirect acting cholinergic
drugs? Name a few examples of these drugs - answer
Examples: Pyridogistimine, Rivastigmine, and Donepezil
Contra= intestinal & urinary obstruction
use caution w/ pt's w/ bradycardia, asthma, and peptic
ulcers
Indirect acting cholinergic drugs SE - answer SE=
ASthma/COPD because bronchoconstriction, bradycardia,
miosis (pupil contriction)
, TX of overdose of cholinergic Crisis and acronym? - answer
Diarrhea
Urination
Miosis (p constriction)
Bradycardia
Emesis (N/V)
Lethargy (fatigue)
Lacrimation (watery eyes)
Salivation (drooling)
*teach to rise up slowly cuz orthohypo
*Diaphoresis (sweating)
What is the antidote for a cholinergic crisis? - answer
Atropine sulfate (anticholinergic)
(AC) Scopolamine indication - answer motion sickness, and
prevent aspirations during surgery because it dries
secretions @ back of throat
(AC) Benztropine indication - answer PRKN dz, they decr
tremors & rigidity
(AC) Atropine indication - answer its the Antidote for a
cholinergic crisis, Used for symptomatic bradycardia, decr
risk of aspirations in surgery, Dry mouth is a good
indication that med is working
3 Module 10 & 11(93
questions and
answers)
Cholinergic Meds ____ PNS & block the _____. - answer
stimulate PNS, and block the SNS
Anti-Cholinergic Meds inhibit _____ & stimulate ______ -
answer PNS, and stimulate SNS
Bethanechol (ACM) MOA & contra - answer MOA=contracts
bladder, used for POSTOPERATIVE URINARY RETENSION b4
surgery postpardom
contra= bradycardia, hypotension, Asthma/COPD, peptic
ulcer, parkinsonism
Bethanechol SE - answer SE= blurred vision, miosis,
hypotension, sweating, bradycardia, INCR salivation, N/V,
diarrhea, ABD cramps, bronchocontriction
Pyridostigmine is what type of drug and used for what? -
answer Cholinesterase inhibitor used for MG, it stimulates
skeletal muscles, and helps incr muscle tone.
,Indirect acting cholinergic example drugs MOA? - answer
Donepezil, Rivastigmine are indirect acting cholinesterase
drugs (cholinesterase inhibitors)
MOA=inhibit cholinestrase enzyme into choline and acetic
acid, it prevents the breakdown so MORE acetylcholine in
body. They will slow down the progression of Alzheimers.
What is used to test for MG? - answer You use
Androphonerum, a POSITIVE tensilon test indicates MG
With MG a patient is at risk for what? - answer At risk for
falls cuz weak muscles so use caution and use bed rails
What is a contraindication with Indirect acting cholinergic
drugs? Name a few examples of these drugs - answer
Examples: Pyridogistimine, Rivastigmine, and Donepezil
Contra= intestinal & urinary obstruction
use caution w/ pt's w/ bradycardia, asthma, and peptic
ulcers
Indirect acting cholinergic drugs SE - answer SE=
ASthma/COPD because bronchoconstriction, bradycardia,
miosis (pupil contriction)
, TX of overdose of cholinergic Crisis and acronym? - answer
Diarrhea
Urination
Miosis (p constriction)
Bradycardia
Emesis (N/V)
Lethargy (fatigue)
Lacrimation (watery eyes)
Salivation (drooling)
*teach to rise up slowly cuz orthohypo
*Diaphoresis (sweating)
What is the antidote for a cholinergic crisis? - answer
Atropine sulfate (anticholinergic)
(AC) Scopolamine indication - answer motion sickness, and
prevent aspirations during surgery because it dries
secretions @ back of throat
(AC) Benztropine indication - answer PRKN dz, they decr
tremors & rigidity
(AC) Atropine indication - answer its the Antidote for a
cholinergic crisis, Used for symptomatic bradycardia, decr
risk of aspirations in surgery, Dry mouth is a good
indication that med is working
