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Pharm Exam 2 Galen – Questions & Answers (Pass!)
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Pharm Exam 2 Galen – Questions & Answers (Pass!)
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Pharm Exam 2 Galen – Questions & Answers (Pass!)Anticholinergic action Right Ans - Inhibits cholinergic, and decreases GI
activity, GU activity, and secretions. "High and dry"
Anticholinergic Drugs Right Ans - Atropine, Benztropine, Tolterodine
Atropine Indications Right Ans - bradycardia, Pre op decrease GI
symptoms, Tx Cholinergic Crisis.
Benztropine Indications Right Ans - Decrease involuntary movement
rigidity related to Parkinson's'.
Tolterodine indications Right Ans - decreases urinary frequency/ urge in
pts with OAB
Atropine Adverse reactions Right Ans - Tachycardia, hyper/hypotension,
Angina, Seizures, Dysrhythmia's, ileus.
Atropine Side effects Right Ans - Dry mouth, drowsy, dizzy, dry skin,
constipation, Urinary retention, blurry vision, confusion. (Cant see, cant pee,
can't poop, dry mouth.)
Anticholinergic nursing indications Right Ans - Glaucoma, GI Obstructions,
BPH or Urinary Retention, renal or hepatic disorders. dementia, tardive
dyskinesia, HTN, Myasthenia Gravis, cardiovascular disease; heart failure;
contraindicated for children.
Benztropine Adverse reactions Right Ans - Tachycardia
Ocular HTN/Glaucoma
Ileus
Benztropine side effects Right Ans - Drowsiness, blurred vision, nausea,
constipation, urinary retention, dry mouth, agitation.
Anticholinergic pt ED Right Ans - Increased fluid intake. Constipation
management - increased fiber, increased activity. Avoid hot environments.
, Monitor I/O and report decreases in urine output. Management of dry mouth -
sugarless candy or increased fluids. Changes positions slowly. Monitor vitals -
BP and HR. Do not drive if drowsy. Monitor for confusion in elderly
Tolterodine Adverse reactions Right Ans - Tachycardia
Chest pain
Angioedema
Peripheral edema
SJS
Adrenergic Agonist Right Ans - Epinephrine
Epinephrine actions Right Ans - Directly stimulates both Alpha and Beta
receptors of the Sympathetic Nervous System.
Results in increase in cardiac stimulation, bronchodilation, cardiac output, and
blocks release of histamine
Epinephrine indications Right Ans - anaphylaxis, cardiac arrest
Epinephrine Adverse reactions Right Ans - Palpitations
Tachycardia
Hypertension, MI, Ventricular Fibrillation, Dyspnea
Epinephrine side effects Right Ans - Restlessness, tremor, tachycardia,
hyperglycemia, HA, Gi, dizzy/weak, oliguria.
Epinephrine Nursing Implications Right Ans - Monitor vital signs/ECG at
baseline and after administration.
Closely monitor IV site.
Massage site after IM/SQ dose.
Monitor blood glucose levels,
Close monitoring of pregnant women, cardiac disease, diabetes, older adults,
closed-angle glaucoma
Epinephrine pt teaching Right Ans - Travel with EpiPen at all times. Use at
first sign of reaction, do not refrigerate - keep in cool, dark place. OK to inject
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