NSG 223 Med Surg II Exam 1 Questions & Answers
What is the Action of Atropine?(Ans - blocks the effects of acetylcholine at muscarinic cholinergic receptors
What classification is Atropine?(Ans - Anticholinergic
What does atropine treat?(Ans - Cardiovascular effects such as bradycardia and syncope
What are the side effects of an overdose of Atropine?(Ans –
- Decreased secretions
- Increased HR
- Decreased GI and Genitourinary tone
What is the antidote for Atropine?(Ans - Physostigmine at a slow rate of 1 mg/min
What are the effects of rapid administration of Atropine?(Ans –
- Bradycardia
- Hypersalivation
- Seizures
How long does it take for the peak effects of Atropine IV and IM to take effect?
(Ans - IV: The peak effect occurs in 2 to 4 minutes
IM: 30 minutes
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Nurse assesses for what with Atropine?(Ans –
- HR for patients with bradycardia if Atropine administered
- Diminished secretions in preoperative patients
What are some adverse Effects from Atropine?(Ans –
- Urinary retention
- Bowel Sounds- paralytic ileus
- Photophobia, mydriasis, blurred vision, and increased intraocular
- Dry mouth
- Increased temperature
pressure
Elderly and children are prone to what when on Atropine?(Ans - hyperpyrexia due to suppression of perspiration and heat loss
What are some patient education for Atropine?(Ans –
- Avoid excessively high temperatures
- Drink a lot of water
- Rinse mouth frequently
- Maintain good dental hygiene
- Use hard candy before taking medication
- Void before taking medication
- Visit ophthalmologist regularly
When patient is on Atropine what signs/symptoms should you notify the MD about?(Ans –
- If fluid intake is greater or less than urine output
- Fever
- Weakness becomes severe
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