MoA: Mimics acetylcholine effects by binding directly to muscarinic receptors
- Cholinergic receptors stimulate urinary and gastrointestinal activity, constrict pupils, increase salivation, constrict bronchioles, and decrease heart rate.
- Muscarinic receptors are a type of cholinergic receptor that act on smooth muscle.
Indications: Decrease Intraocular Pressure, Glaucoma, Intraocular Surgery
Side Effects: Bronchospasm, Diaphoresis, Salivation
Nursing Implications:
- Do not stop this medication abruptly.
- Patient is at risk for Cholinergic Crisis. Monitor for salivation, lacrimation, urinary incontinence, diarrhea, GI cramps, and emesis (SLUDGE).
- The antidote for cholinergic medication is atropine and should be readily available for emergent use.
