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How do cholinergic drugs affect the cardiovascular system, the respiratory system, the eyes, the gastrointestinal system,and the urinary system?( 1 learning objectives).2. What is the differences between direct- and indirect- Acting cholinergic drugs? Which one is used more frequently and why? ( 2learning objectives). 3. You are caring for a 34 year old female who is using pyridostigmine for treatment of myasthenia gravis.Discuss special considerations for use of this indirect -acting cholinergic in an adults.( 3 learning objectives). 4. You are caring for an 83-year-old patient who is using bethanechol for treatment of a neurogenic bladder. Discuss special considerations for use of these Direct-acting cholinergic an older adult.( 3 learning objectives). Group Assignments:1. Construct a table the compares direct-and indirect-acting cholinergic drugs.for each drug group, describe the therapeutic actions,indications, pharmacokinetics,contraindications the most common adverse reaction's and the important drug-drug interactions.( 2 learning objectives ). 2. Cholinergic drug are not used frequently and children. what are clinical conditions that would constitute using these drugs in children ? Discuss nursing considerations for using cholinergic drugs in children .Provide clear rationale for all nursing considerations.(3,5 learning objectives). clinical Assignment:1. Select a patient taking cholinergic drug.Is it a direct- or indirect -acting cholinergic?why is the patient taking this drug? describe the therapeutic actions, indications,pharmacokinetics,contraindications the most common adverse reaction's and the important drug-drug interactions for the drug. (2 learning objectives).2. Select a patient taking Cholinergic drug.compare and contrast this drug to the prototype drugs bethanechol,donepezil,and pyridostigmine.Discuss similarities and differences among the drugs.( 4 learning objectives).web Assessments:1. You are caring for a 78-year-old male patient with a new diagnosis of Alzheimer's disease .the patient primary care giver is his 71 year old wife . the patient has a new order for rivastigmine(Exelon).The wife has many questions about the new medication and her husbands diagnosis.Prepared a teaching plan for the wife related to the new medication and her husbands new diagnosis. Conduct an internet search to help in developing a teaching plan.(5 learning objectives).2. Conduct an Internet search to learn more about Myasthenia gravis and The treatment of this disease. How do cholinergic drugs Treat patients with myasthenia gravis? Based on the research describe nursing interventions and considerations appropriate to the patient with myasthenia gravis and the cholinergic drugs used to treat it.
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