510
P A R T 5
Drugs acting on the autonomic nervous system
BIBLIOGRAPHY
Farrell, M. & Dempsey, J. (2014).
Smeltzer & Bare’s Textbook of
Medical-Surgical Nursing
(3rd edn). Sydney: Lippincott Williams
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Goodman, L. S., Brunton, L. L., Chabner, B. & Knollmann, B. C.
(2011).
Goodman and Gilman’s Pharmacological Basis of
Therapeutics
(12th edn). New York: McGraw-Hill.
Graudins, L. V. (2009). Preventing motion sickness in children.
Australian Prescriber
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32
, 61–63.
Kuteesa, W. (2006). Anticholinergic drugs for overactive bladder.
Australian Prescriber
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McKenna, L. (2012).
Pharmacology Made Incredibly Easy
(1st Australian and New Zealand edn). Sydney: Lippincott
Williams & Wilkins.
McKenna, L. & Mirkov, S. (2014).
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Nursing and Midwifery
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Porth, C. M. (2011).
Essentials of Pathophysiology: Concepts
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Porth, C. M. (2009).
Pathophysiology: Concepts of Altered Health
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Seale, J. P. (2003). Anitcholinergic bronchodilators.
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C H E C K Y O U R U N D E R S T A N D I N G
Answers to the questions in this chapter can be found in
Appendix A at the back of this book.
MULTIPLE CHOICE
Select the best answer to the following.
1.
Anticholinergic drugs are used:
a.
to allow the sympathetic system to dominate.
b.
to block the parasympathetic system, which is
commonly hyperactive.
c.
as the drugs of choice for treating ulcers.
d.
to stimulate GI activity.
2.
Atropine and hyoscine work by blocking:
a.
nicotinic receptors only.
b.
muscarinic and nicotinic receptors.
c.
muscarinic receptors only.
d.
adrenergic receptors to allow cholinergic
receptors to dominate.
3.
Which of the following suggestions would the nurse
or midwife make to help a person who is receiving
an anticholinergic agent reduce the risks associated
with decreased sweating?
a.
covering the head and using sunscreen
b.
ensuring hydration and temperature control
c.
changing position slowly and protecting from
the sun
d.
monitoring for difficulty swallowing and
breathing
4.
Which of the following would the nurse or midwife be
least likely to include when developing a teaching plan
for a person who is receiving an anticholinergic agent?
a.
encouraging the person to void before dosing
b.
setting up a bowel program to deal with
constipation
c.
encouraging the person to use sugarless lozenges
to combat dry mouth
d.
performing exercises to increase the heart rate
MULTIPLE RESPONSE
Select all that apply.
1.
A nurse or midwife would expect atropine to be
used for which of the following?
a.
to depress salivation
b.
to dry up bronchial secretions
c.
to increase the heart rate
d.
to promote uterine contractions
e.
to treat myasthenia gravis
f.
to treat Alzheimer’s disease
2.
Remembering that anticholinergics block the
effects of the parasympathetic nervous system, the
nurse or midwife would question an order for an
anticholinergic drug for people with which of the
following conditions?
a.
ulcerative colitis
b.
asthma
c.
bradycardia
d.
inner ear imbalance
e.
glaucoma
f.
prostatic hyperplasia
