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Cholinergic Drug
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Cholinergic Drugs & Cholinergic Blockers
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Side A ------ Side B acetylcholine ------ neurotransmitter of the PSNS acetylcholinersterase ------ the enzyme responsible for breaking down acetylcholine nicotinic receptors ------ located in the ganglia of both PSNS and SNS, stimulated by alkaloid nicotine muscarininc receptor ------ located postsynaptically in the effect organs of the PSNS, stimulated by the alkaloid muscarine direct-binding cholinergic agonists ------ bind to cholinergic receptors, activating them indirect-acting cholinergic agonists ------ inhibit the enzyme acetylcholinerstase, which breaks down ACh reversible ------ bind to cholinesterase for a period of a few minutes to hours irreversible ------ bind to cholinesterase and form a permanent covalent bond miosis ------ constriction of the pupil Alzheimer's treatment ------ acetylcholine effects and stimulates muscarinic receptors - donepezil (Aricept) donepezil (Aricept) ------ indirect-acting cholinergic drug used to treat Alzheimer's bethanechol ------ direct-acting cholinergic used to treat urinary retention in-direct acting drugs ------ drugs that cause skeletal muscle contraction myasthenia gravis ------ muscle disease that breaks down the acetylcholine resulting in muscle weakness adverse effects of cholinergics ------ result of overstimulation of the PSNS two important adverse effects of cholinergics ------ hypotension and bradycardia nursing implication of cholinergics ------ therapeutic effects of anti-Alzheimer's drugs may not occur for up to 6 weeks cholinergic effect on intestine & bladder ------ increased gastric secretions, increased GI motility, increased urinary frequency cholinergic effects on cardiovascular ------ decreased heart rate, vasodilation receptors effected at recommended doses of cholinergics ------ muscarinic receptors effected at high doses of cholinergics ------ nicotinic parasympatholytics ------ drugs that block or inhibit the actions of acetylcholine in the parasympathetic nervous system mechanism of cholinergic blockers ------ block the action of the NT acetylcholine at the muscarininc receptors in the parasympathetic nervous system mydriasis ------ dilation of the pupil drug of choice for bradycardia ------ atropine cardiovascular drug effect of cholinergic blocker ------ increased heart rate Parkinson's treatment ------ cholinergic blockers because decreased muscle rigidity and tremors - benztropine (Cogentin) benztropine (Cogentin) ------ drug used for treatment of Parkinson's disease atropine ------ prototype cholinergic blocker ipratropium (Atrovent) ------ inhaler - cholinergic blocker classic side effect of cholinergic blocker ------ decreased salivation nursing implication for cholinergic blocker ------ dry mouth may occur --> chew gum, frequent mouth care, hard candy
Side A ------ Side B acetylcholine ------ neurotransmitter of the PSNS acetylcholinersterase ------ the enzyme responsible for breaking down acetylcholine nicotinic receptors ------ located in the ganglia of both PSNS and SNS, stimulated by alkaloid nicotine muscarininc receptor ------ located postsynaptically in the effect organs of the PSNS, stimulated by the alkaloid muscarine direct-binding cholinergic agonists ------ bind to cholinergic receptors, activating them indirect-acting cholinergic agonists ------ inhibit the enzyme acetylcholinerstase, which breaks down ACh reversible ------ bind to cholinesterase for a period of a few minutes to hours irreversible ------ bind to cholinesterase and form a permanent covalent bond miosis ------ constriction of the pupil Alzheimer's treatment ------ acetylcholine effects and stimulates muscarinic receptors - donepezil (Aricept) donepezil (Aricept) ------ indirect-acting cholinergic drug used to treat Alzheimer's bethanechol ------ direct-acting cholinergic used to treat urinary retention in-direct acting drugs ------ drugs that cause skeletal muscle contraction myasthenia gravis ------ muscle disease that breaks down the acetylcholine resulting in muscle weakness adverse effects of cholinergics ------ result of overstimulation of the PSNS two important adverse effects of cholinergics ------ hypotension and bradycardia nursing implication of cholinergics ------ therapeutic effects of anti-Alzheimer's drugs may not occur for up to 6 weeks cholinergic effect on intestine & bladder ------ increased gastric secretions, increased GI motility, increased urinary frequency cholinergic effects on cardiovascular ------ decreased heart rate, vasodilation receptors effected at recommended doses of cholinergics ------ muscarinic receptors effected at high doses of cholinergics ------ nicotinic parasympatholytics ------ drugs that block or inhibit the actions of acetylcholine in the parasympathetic nervous system mechanism of cholinergic blockers ------ block the action of the NT acetylcholine at the muscarininc receptors in the parasympathetic nervous system mydriasis ------ dilation of the pupil drug of choice for bradycardia ------ atropine cardiovascular drug effect of cholinergic blocker ------ increased heart rate Parkinson's treatment ------ cholinergic blockers because decreased muscle rigidity and tremors - benztropine (Cogentin) benztropine (Cogentin) ------ drug used for treatment of Parkinson's disease atropine ------ prototype cholinergic blocker ipratropium (Atrovent) ------ inhaler - cholinergic blocker classic side effect of cholinergic blocker ------ decreased salivation nursing implication for cholinergic blocker ------ dry mouth may occur --> chew gum, frequent mouth care, hard candy
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