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NR 341 Drugs – Complete Study Guide
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NR 341 Drugs – Complete Study Guide
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NR 341 Drugs – Complete Study GuideAlbuterol [Proventil]--- Bronchodilation occurs! Right Ans - *Beta-2
Adrenergic. Short acting, RESCUE INHALER*
---- Decreases intracellular calcium--> causing smooth airway muscles to
relax----
Bronchospasm via asthma/ exercise prevention
Adverse Fx:
nervous, restlessness, tremors
Chest pain/ palpitations/ arrhythmias, hypertension
N/V
Betablockers may negate fx, caffeine can cause increased stimulant effects
Can cause:
Hyperglycemia & Hypokalemia
Albuterol-- additional knowledge Right Ans - *Contraindications:*
MAOI's
Allergies
CAUTION WITH:
*cardiac disease
HTN
Hyperthyroidism
Diabetes,
Glaucoma,
Seizure disorders*
T-pa [Alteplase]-- Thrombolytic Right Ans - Used for----
Acute MI, Ischemic Stroke, Acute PE, Occluded CVAD
MOA-- Convery pasminogen to plasmin which degrades fibrin/ *[breaking
clots]*
CONTRAINDICATIONS
, --- Active internal bleeding; Hx of: CVA, Intracranial/ spinal trauma, AV
malformation, Uncontrolled HTN
ADVERSE FX::::
Intracranial Hemorrhage.... *THINK ANY BLEEDING*, Reperfusion
arrhythmias, anaphylaxis.... INTERNAL BLEEDING, hypotension,
Aminocaproic Acid-- Amicar can be used as an antidote
Desired Outcomes:::
*Lysis of thrombi, restored blood flow;
Prevented neuro-damage r/t acute ischemic CVA;
Cannula/ Catheter Patency*
Amiodarone [Cordarone]-- Arrythmia Suppression, Rate Decreaser,
Vasodilation Right Ans - Decreases Rate, Increases PR/QT intervals, Causes
Vasodilation
Uses:
Ventricular Arrhythmias, SVT
Contraindications:
Cardiogenic Shock, Sinus node dysfunction, 2nd/3rd degree block,
Bradycardia
Adverse Fx:
ARDs, Pulmonary harm, HF, Arrhythmia worsening, QT prolongation,
confusion, Disorientation, hllucinations... Dizziness, fatigue, malaise
BRADYCARDIA, HYPOTENSION,
photosensitivity, tremors, ataxia
Amlodipine [Norvasc]-- CCB, Antihypertensive Right Ans - Effects:
Systemic/ Coronary Vasodilation; resulting in decreased BP/ freq/ severity of
angina [coronary]
CONTRAS: Systolic BP <90 mmHg; Hypersensitivity
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