Cholinergic-blocking medication! (anticholinergic)

how does cholinergic blocking medication work?

it inhibits the parasympathetic nervous system

(induces fight or flight)

what kinds of patients need cholinergic blocking medications?

patients that have

-peptic ulcers

-Mydriasis (dilated pupils)

-cycloplegia (paralysis of cillary body)

-bradycardia

-alzheimers disease

-asthma/copd

what are the two generic names of the cholinergic blocking medication?

atropine

benztropine marylate

what are two brand names for atropine?

atropair

atropisol

what is a brand name for benztropine merylate?

cogentin

what kinds of patients SHOULD NOT take cholinergic blocking medications?

narrow angle glaucoma (seeing halos around lights)

myasthenia gravis (weakness of voluntary muscles)

coronary artery disease

what are five common adverse affects of cholinergic blocking medications?

dry mouth and eyes

decreased GI motility (constipation and urinary retention)

HTN

Drowsiness and nervousness

blurred vision (photophobia)

what are life threatening affects of cholinergic blocking medications?

delirium and confusion

seizures

palpitations

what should you do as a nurse for patients taking life threatening affects of cholinergic blocking medications?

-monitor pt condition

-assess for therapeutic affects

-assess for adverse affects

-monitor for excessive ANS simulation

if ANS simulation occurs, the patient will have a _________ and need ________

1. sedative reaction

2. antacids (one hr between anticholinergic)

patient teachings for pts who take cholinergic blocking medications

-educate pt to monitor HR and BP

-instruct pt to report palpitations, SOB, dizziness, dysphagia, syncope

SLUDGE acronym for adverse effects for cholinergic

S- salvation

L-lacrimation

U-urination

D-diarrhea

G-gastrointestional distress

E-emesis

The antidote for cholinergic medication is

atropine