NUR 2060 - PNS Drugs Questions &
100% Correct Answers-
bethanechol (Urecholine)* - Uses
✓ :~~ Muscarinic Agonist:
Urinary retention
GERD
Ileus = decrease bowl movement
Postop abdominal distention
bethanechol (Urecholine)* - Contraindications
✓ :~~ Muscarinic Agonist:
Asthma --> due to brochospasms
Mechanical obstruction of GI/Urinary Tract --> may cause perforation
bethanechol (Urecholine)* - ADRs
✓ :~~ Muscarinic Agonist:
Sedation
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Lacrimation
Miosis = contraction of pupil
Decreased BP
diarrhea
cramping
bethanechol (Urecholine)* - Nursing Implications
✓ :~~ Muscarinic Agonist:
administer before meals or at bedtime
watch for cholinergic overdose:
-salivation
-sweating
-flushing
-abdominal cramps
-nausea
pilocarpine (Isopto Carpine)
✓ :~~ Muscarinic agonist:
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therapy for glaucoma
(increased muscarinic receptor activation --> miosis --> increases aqueous humor
outflow --> decreased intraocular pressure)
cevimeline (Evoxac) - Overview
✓ :~~ Muscarinic agonist:
therapy for xerostomia (dry mouth)
-result of salivary gland dmg (radiation) and Sjogern's syndrome
(increased muscarinic receptor activation --> increased secretion --> salivation)
atropine* - Actions
✓ :~~ Muscarinic antagonist
increases HR
decreases secretions
relaxes bronchi
decreases bladder tone
decreases GI tone & mobility
Master01 | September, 2024 | Latest Update