NUR3196 Drug Cards Exam 2 Practice
Questions All Answered Correct Rated
A+ 2025-2026 Edition.
therapeutic class of bethanechol - Answer nonobstructive urinary retention drug
brand name of bethanechol - Answer Urecholine
pharmacologic class of bethanechol - Answer muscarinic cholinergic receptor drug
onset of bethanechol PO - Answer 30-90 min
administration routes of bethanechol - Answer PO & SQ
onset of bethanechol SQ - Answer 5-15 min
peak of bethanechol PO - Answer 60 min
peak of bethanechol SQ - Answer 15-30 min
duration of bethanechol PO - Answer 6 hr
duration of bethanechol SQ - Answer 120 min
action of bethanechol - Answer -direct acting parasympathomimetic
-interacts with muscarinic receptors
-causes actions typical to parasympathomimetic stimulation
-effects digestive and urinary tracts
-stimulates smooth muscle contraction
uses of bethanechol - Answer -increases smooth muscle tone and muscular contractions of GI
,-oral and SQ doses are NOT interchangeable
-monitor BP, pulse, and respirations and for at least 1 hr after SQ admin
-pregnancy category C
adverse effects of bethanechol - Answer -increased contractions of digestive tract in people
with obstruction, active ulcer, inflammatory disease
-same cautions for pts with COPD
-side effects=increased salivation, sweating, abdominal cramping, hypotension that could lead
to fainting
contraindications of bethanechol - Answer pts with asthma, epilepsy, parkinsonism,
hyperthyroidism, peptic ulcer disease, or bradycardia should not use; safety in pregnancy and
lactation and in children younger than 8 years is not established
drug-drug interactions of bethanechol - Answer increased cholinergic effects from
cholinesterase inhibitors and decreased cholinergic effects from procainamide, quinidine,
atropine, and epinpephrine; may cause an increase in serum aspartate aminotransferase (AST),
amylase, and lipase in lab testing
herbal/food interactions of bethanechol - Answer cholinergic effects caused by bethanechol
may be antagonized by angel's trumpet, jimson weed, or scopalia (herbal/food)
brand name of physostigime - Answer Antilirium
therapeutic class of physostigime - Answer antidote for anticholinergic toxicity
pharmacologic class of physostigime - Answer acteylcholinesterase inhibitor
routes of administration of physostigime - Answer IM, IV
onset of physostigime - Answer less that 5 min
peak of physostigime - Answer 20-40 min
, -effects occur at neuromuscular junction and central and peripheral locations where Ach is a
NTM
uses of physostigime - Answer reverses toxic and life-threatening delirium caused by atropine,
diphenhydramine, dimenhydrinate, Atropa belladonna (deadly nightshade), or jimson weed
administration alerts of physostigime - Answer -administer slowly over 5 minutes to avoid
seizures and respiratory distress
-continuous infusions should NEVER be used
-monitor BP, pulse, respirations and look for hypersalivation
-pregnancy category C
adverse effects of physostigime - Answer bradycardia, asystole, restlessness, nervousness,
seizures, salivation, urinary frequency, muscle twitching, an respiratory paralysis
contraindications of physostigime - Answer use with caution in patients with asthma, epilepsy,
diabetes, cardiovascular disease, or bradycardia; discontinue if excessive sweating, diarrhea, or
frequent urination occurs. not recommended in pts with known or suspected tricyclic
antidepressant (TCA) intoxication
drug-drug interaction of physostigime - Answer increased effects from cholinergic agents and
beta blockers; the levels of physostigmine may be increased by systemic corticosteroids; may
decrease effects of neuromuscular-blocking agents; may cause an increase in serum alanine
aminotransferase (ALT), AST, and amylase
herbal/food interaction of physostigime - Answer toxic effects caused by physostigimine may
be enhanced by ginko biloba
brand name of atropine - Answer Atro-Pen
therapeutic class of atropine - Answer antidote for anticholinesterase poisoning
pharmacologic class of atropine - Answer muscarinic cholinergic receptor blocker
routes of administration of atropine - Answer PO, SQ
Questions All Answered Correct Rated
A+ 2025-2026 Edition.
therapeutic class of bethanechol - Answer nonobstructive urinary retention drug
brand name of bethanechol - Answer Urecholine
pharmacologic class of bethanechol - Answer muscarinic cholinergic receptor drug
onset of bethanechol PO - Answer 30-90 min
administration routes of bethanechol - Answer PO & SQ
onset of bethanechol SQ - Answer 5-15 min
peak of bethanechol PO - Answer 60 min
peak of bethanechol SQ - Answer 15-30 min
duration of bethanechol PO - Answer 6 hr
duration of bethanechol SQ - Answer 120 min
action of bethanechol - Answer -direct acting parasympathomimetic
-interacts with muscarinic receptors
-causes actions typical to parasympathomimetic stimulation
-effects digestive and urinary tracts
-stimulates smooth muscle contraction
uses of bethanechol - Answer -increases smooth muscle tone and muscular contractions of GI
,-oral and SQ doses are NOT interchangeable
-monitor BP, pulse, and respirations and for at least 1 hr after SQ admin
-pregnancy category C
adverse effects of bethanechol - Answer -increased contractions of digestive tract in people
with obstruction, active ulcer, inflammatory disease
-same cautions for pts with COPD
-side effects=increased salivation, sweating, abdominal cramping, hypotension that could lead
to fainting
contraindications of bethanechol - Answer pts with asthma, epilepsy, parkinsonism,
hyperthyroidism, peptic ulcer disease, or bradycardia should not use; safety in pregnancy and
lactation and in children younger than 8 years is not established
drug-drug interactions of bethanechol - Answer increased cholinergic effects from
cholinesterase inhibitors and decreased cholinergic effects from procainamide, quinidine,
atropine, and epinpephrine; may cause an increase in serum aspartate aminotransferase (AST),
amylase, and lipase in lab testing
herbal/food interactions of bethanechol - Answer cholinergic effects caused by bethanechol
may be antagonized by angel's trumpet, jimson weed, or scopalia (herbal/food)
brand name of physostigime - Answer Antilirium
therapeutic class of physostigime - Answer antidote for anticholinergic toxicity
pharmacologic class of physostigime - Answer acteylcholinesterase inhibitor
routes of administration of physostigime - Answer IM, IV
onset of physostigime - Answer less that 5 min
peak of physostigime - Answer 20-40 min
, -effects occur at neuromuscular junction and central and peripheral locations where Ach is a
NTM
uses of physostigime - Answer reverses toxic and life-threatening delirium caused by atropine,
diphenhydramine, dimenhydrinate, Atropa belladonna (deadly nightshade), or jimson weed
administration alerts of physostigime - Answer -administer slowly over 5 minutes to avoid
seizures and respiratory distress
-continuous infusions should NEVER be used
-monitor BP, pulse, respirations and look for hypersalivation
-pregnancy category C
adverse effects of physostigime - Answer bradycardia, asystole, restlessness, nervousness,
seizures, salivation, urinary frequency, muscle twitching, an respiratory paralysis
contraindications of physostigime - Answer use with caution in patients with asthma, epilepsy,
diabetes, cardiovascular disease, or bradycardia; discontinue if excessive sweating, diarrhea, or
frequent urination occurs. not recommended in pts with known or suspected tricyclic
antidepressant (TCA) intoxication
drug-drug interaction of physostigime - Answer increased effects from cholinergic agents and
beta blockers; the levels of physostigmine may be increased by systemic corticosteroids; may
decrease effects of neuromuscular-blocking agents; may cause an increase in serum alanine
aminotransferase (ALT), AST, and amylase
herbal/food interaction of physostigime - Answer toxic effects caused by physostigimine may
be enhanced by ginko biloba
brand name of atropine - Answer Atro-Pen
therapeutic class of atropine - Answer antidote for anticholinesterase poisoning
pharmacologic class of atropine - Answer muscarinic cholinergic receptor blocker
routes of administration of atropine - Answer PO, SQ
