Fill in the Blanks
test your knowledge
There
are
two
types
of
repetors
in
the
parasympathetic
nervous
branch
:
receptors
(
which
stimulates
smooth
muscle
)
and
receptors
(
which
stimulates
skeletal
muscle
)
.
2
acetylcholinesterase
parasympathomimetic
adrenergic
Cholinergic
synergistic
drugs
mimic
the
activity
of
the
parasympathetic
nervous
system
.
They
are
also
called
drug
s
3
AChE
ACh
Acetylcholinesterase
(
)
is
an
enzyme
that
can
inactivate
the
neurotransmitter
,
thereby
preventing
the
nerve
synapse
from
continuing
the
nerve
impulse
.
4
acetylcholinesterse
norepinephrine
Acetylcholine
ACh
(
)
is
the
neurotransmission
substance
that
carries
nerve
impulses
across
the
parasympathetic
branch
of
the
autonomic
nervous
system
.
5
colon
lewy body
dementia
Alzheimer
myasthenia gravis
This
interruption
in
neurotransmission
can
diminish
cognitive
function
,
which
is
seen
in
illnesses
such
as
disease
.
6
anticolontise
anticholinesterase
acetylcholinsterase
drugs
cholinergic
inhibitors
dopamine
Drugs
that
inhibit
the
enzyme
AChE
are
called
or
.
7
acting
vision
cardiac
cholinergics
digestion
elimination
respiratory
circulatory
reproductive
direct
Drugs
acting
on
the
sympathetic
nervous
system
more
prominently
impact
the
,
,
or
systems
.
Cholinergic
drugs
that
act
on
the
parasympathetic
nervous
system
more
prominently
impact
,
,
and
the
system
.
Drugs
like
ACh
are
called
-
.
8
ACh
muscle
cholinergics
anticholinesterase
indirect
stimulants
AChe
acting
Cholinergic
drugs
that
prolong
the
activity
of
by
inhibiting
the
release
of
are
called
-
or
.
This
occurs
when
there's
a
lack
of
ACh
being
released
at
the
nerve
endings
of
the
PN
S
9
myasthenia
glaucoma
immunotherapy
gravis
An
example
of
indirect
action
is
the
use
of
cholinergic
drugs
to
treat
,
a
disease
that
involves
rapid
fatigue
of
skeletal
muscles
.
Primary
treatment
of
this
disease
is
accomplished
with
.
10
cholinergics
urinary retention
acting
miosis
neurogenic bladder
micturition
indirect-acting cholinergics
direct
Drugs
like
ACh
are
called
-
.
An
example
of
cholinergic
influence
is
on
the
act
of
(
voiding
of
urine
)
.
11
cholinergic
contraction
fluid retention
involuntary
retention
indirect-acting cholinergics
parasympathetic
direct
urinary
involuntary
constricting
retention
volunty
acting
Urinary
relaxing
Micturition
is
both
a
and
an
act
.
The
branch
of
the
autonomic
nervous
system
party
controls
the
(
)
process
of
micturition
by
the
detrusor
muscle
and
the
bladder
sphincter
.
results
when
micturition
is
impaired
.
Treatment
of
with
-
drugs
causes
of
the
bladder
smooth
muscles
and
passage
of
urine
.
12
anticholinesterase muscle stimulant
acting
indirect
direct-acting cholinergic
micturition
glaucoma
mitosis
cholinergic
miosis
Treatment
of
with
an
-
drugs
produces
(
constriction
of
the
iris
)
.
13
Norepinephrine
Dopamine
cholinergic
Acytylcholinesterase
Acetylcholine
Which
of
the
following
is
the
substance
responsible
for
transmission
of
nerve
impulses
across
the
parasympathetic
nervous
system
?
14
Myasthenia
abdominal cramping
Urinary
fluid retention
gastroinintestinal issues
relaxed
gravis
retention
Cardiac arrythmias
Neurogenic
Major
uses
of
the
cholinergic
drugs
are
in
the
treatment
of
the
following
:
,
bladder
,
and
.
15
tissue perfusion
Nausea
myasthenia gravis
diarrhea
weakness
cardiac
flushing
muscle
urinary retention
dizziness
arrythmias
respiratory distress
salivation
General
adverse
reactions
include
the
following
:
,
,
abdominal
cramping
,
,
of
the
skin
,
,
and
.
16
iritis
GI
coronary
atropine
glaucoma
peptic
genitourinary
corneal
hypersensitivity
asthma
Bethanol
hyperthyroidism
These
drugs
are
contraindicated
in
clients
with
known
to
the
drugs
,
,
ulcers
disease
,
artery
disease
,
and
.
is
contraindicated
in
those
with
mechanical
obstruction
of
the
or
tracts
.
Clients
with
secondary
,
,
abrasion
,
or
any
actue
inflammatory
disease
of
the
eye
should
not
use
the
ophthalamic
cholinergic
preparations
.
17
hypotension
cardiac
C
tachycardia
E
hypertension
pregnancy
coronary
bradycardia
arrhythmias
D
lactation
megacolon
These
drugs
are
used
cautiously
in
clients
with
,
epilepsy
,
,
,
recent
occlusion
,
and
.
The
safety
of
the
drugs
have
NOT
been
established
for
use
during
(
pregnancy
category
)
,
,
or
children
18
amplifies
anticholinergic
anticholinergic
atropine
acetylcholinesterase
antagonizes
synergistic
eliminator
agonizes
Zyban
cholinergic
Bethanechol
Pyridostigmine
antidote
When
drugs
are
administered
with
the
other
cholinergics
,
there
is
a
(
the
effect
is
greater
than
that
of
each
of
the
two
drugs
separately
)
effect
of
the
drugs
and
greater
risk
for
toxicity
.
Concurrent
use
of
more
than
one
drug
the
effects
of
cholinergic
drugs
.
Because
drugs
can
have
this
additive
effect
,
is
the
drug
used
as
an
for
overdose
of
cholinergic
drugs
.
19
Zyban
atropine
diarrhea
salivation
muscle
nausea
corticosteriods
constipation
weakness
dry mouth
Cholinergic
crisis
(
cholinergic
drug
toxicity
)
symptoms
include
severe
abdominal
cramping
,
,
excessive
,
,
rigidity
and
spasm
,
and
clenching
of
the
jaw
.
In
case
of
drug
overdose
,
an
antidote
such
as
is
administered
.
20
before
response
decreased
client's
presence
absence
gravis
myasthenia
increased
between
For
a
client
with
,
you
have
to
assess
the
client
for
the
or
of
the
symptoms
before
each
drug
dose
(
extreme
fatigue
,
drooping
eyelids
,
muscle
weakness
,
inability
to
chew
and
swallow
,
etc
)
.
Carry
out
these
assessments
drug
doses
as
well
as
immediately
drug
administered
.
Assessment
is
important
because
the
dosage
ferequently
is
or
early
in
therapy
,
depending
on
the
.
21
20-30
subcutaneous
30
30-60
buccal
90
oral
5
15
IV
Voiding
usually
occurs
in
-
min
after
drug
administration
and
-
min
after
administration
22
gravis
2
myasthenia
Sustained
4
release
time-released
3-4
1-2
Oral
drug
administration
is
typically
the
route
used
to
manage
symptoms
of
.
Clients
with
severe
symptoms
of
the
disease
require
the
drug
every
-
hr
,
even
during
the
night
.
-
tablets
are
available
that
alow
less
frequent
dosing
and
help
the
client
have
longer
undisturbed
periods
during
the
night
.
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