muscarinic Agonists and Muscarinin Antagonists

31 cards

Thank You Alyssa for the use of your notes for these flash cards.  Further flash cards will be supplemented with the notes.  Muscarinic Agonists (parasympathomimetic agents) and Muscarinic Antagonists (anticholinergic drugs)


 
  
Created Feb 18, 2013
by
Nicoleajohnston

 

 
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1
What kind of "agent" is a muscarinic agonist?
 
parasympathomimetic agents
2
What kind of "agent" is a muscarinic antagonist?
 
anticholinergic drug
3
M1 muscarinic receptors affect what?
 
the CNS and salivary glands
4
T/F: M1 muscarinic receptors when activated enhance CNS activity and salivary production
 
TRUE
5
T/F: M1 muscarinic receptors when blocked cause dryness and confusion
 
TRUE
6
What occurs with the Heart Rate with the activation of M2 receptors?
 
Heart rate decreases
7
T/F: Blocking the activation of M2 receptors will cause increased Heart Rate.
 
TRUE
8
M2 muscarinic receptors affect what?
 
the Heart
9
M3 muscarinic receptors affect what?
 
salivary glands, GI smooth muscle, iris sphincter...
10
T/F: Activation of M3 will cause muscle relaxation
 
FALSE
11
Blocking the M3 receptor will induce muscle relaxation
 
TRUE
12
What are the S&S of cholinergic drugs?
 
* abdominal cramps, * diarrhea, * excessive mouth secretions, * difficulty breathing, * muscle...
13
What is an example of a muscarinic agonist?
 
Bethanechol
14
What is the MOA of bethanechol?
 
direct acting muscarinic agonist (binds reversibly to muscarinic cholinergic receptors causing...
15
What is the use of bethanechol?
 
indicated for urinary retention, GERD, GI paralysis, post-op distention, NOT for use with a...
16
What are some adverse effects of bethanechol?
 
hypotension, bradycardia, excessive salivation, increased secretion of gastric acid, abdominal...
17
What are some other muscarinic agonists?
 
Cerimeine, Pilocarpine, acetylcholine, muscarine
18
What are some causes of muscarinic poisoning?
 
shrooms, direct acting muscarinic agonists, cholinesterase inhibitors
19
What are some S&S of muscarinic toxicity
 
profuse salivation, lacrimation, visual disturbances, bronchospasm, diarrhea, bradycardia,...
20
What is the antidote to muscarinic toxicity?
 
Atropine (muscarnic blockin gagent)
21
If toxicity of a muscarinic antagonist occurs, what are the S&S?
 
dry mouth, blurred vision, photophobia, hyperthermia, CNS effects, death from respiratory depression
22
What is an example of of a muscarinic antagonist?
 
Atropine
23
What is the MOA of atropine?
 
competative blockade at muscarnic receptors. (only action is preventing receptor activation....
24
What is Atropine used for? (answer(s) continue onto more than one slide)
 
increase heart rate, decrease secretions in the salivary, bronchial, and sweat glands, as well...
25
What is Atropine used for?
 
bronchodilation, decreased tone of bladder, and decreased motility of GI tract, dilated pupils,...
26
What are some adverse effects of atropine?
 
dry mouth (xerostomia), blurred vision, photophobia, urinary retention, constipation, anhidrosis...
27
What are some other muscarinic antagonists?
 
scopolamine, ipratropiumbromide, antisecretory anticholinergics, dicyclomine, pirenzepine,...
28
What are some muscarinic blockers?
 
antihistamines, phenothizaine, antipsychotics, tricyclicantidepressents
29
OAB (over active bladder) is categorized by what?
 
urinary urgency, urinary frequency (8+/day), nocturia (2+/night), urge incontinence
30
What is used to treat OAB and why?
 
oxybutin + tolterodine, it blocks muscarinic receptors and inhibits bladder contractions
31
What are some side effects in the treatment of OAB?
 
dry mouth, constipation, tachycardia, urinary hesitancy, urinary retention, possibly CNS effects...

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