A client is admitted with an exacerbation of chronic obstructive pulmonary disease (COPD). Which medications would help with this client's symptoms?
Standard Text: Select all that apply.
1. Ipratropium (Atrovent)
2. Tiotropium (Spiriva)
3. Oxybutynin (Ditropan)
4. Benztropine (Cogentin)
5. Glycopyrrolate (Robinul)
Correct Answer: 1,2
Rationale 1: The muscarinic antagonist ipratropium (Atrovent) is useful in treating chronic obstructive pulmonary disease because it will dilate the bronchi.
Rationale 2: The muscarinic antagonist tiotropium (Spiriva) is useful in treating chronic obstructive pulmonary disease because it will dilate the bronchi.
Rationale 3: The muscarinic antagonist oxybutynin (Ditropan) affects the smooth muscle of the bladder and detrusor muscle.
Rationale 4: The muscarinic antagonist benztropine (Cogentin) has mild effects on the central nervous system and helps treat mild symptoms of Parkinson disease.
Rationale 5: The muscarinic antagonist glycopyrrolate (Robinul) is used for peptic ulcer disease and to control excessive drooling.
Global Rationale: The muscarinic antagonist ipratropium (Atrovent) and tiotropium (Spiriva) are useful in treating chronic obstructive pulmonary disease because they will dilate the bronchi. The muscarinic antagonist oxybutynin (Ditropan) affects the smooth muscle of the bladder and detrusor muscle. The muscarinic antagonist benztropine (Cogentin) has mild effects on the central nervous system and helps treat mild symptoms of Parkinson disease. The muscarinic antagonist glycopyrrolate (Robinul) is used for peptic ulcer disease and to control excessive drooling.
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