galen pharm exam 2 with correct Answers
Epinephrine therapeutic uses - ANS-rapid onset medication used in emergency to treat
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anaphylaxis, asthma, status asthmaticus, cardiac arrest
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S/E of Epinephrine - ANS-nausea,vomiting, agitation, sweating, HA, pallor, insomnia,
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weakness, dizziness, hypo/hyperglycemia, restlessness
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A/E of Epinephrine - ANS-palpitations, tachycardia,hypertension,dyspnea increased
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effects with TCAs & MAOIs
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Nursing Process with adrenegic agonist - ANS-notify MD if epi pen is needed more than
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2x per week
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epi-pen is given in outer thigh subcutaneously, after massage injection cite for 10
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seconds to promote absorption
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Adrenergic Antagonists - ANS-beta blockers decrease HR & BP
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do not stop abruptly- taper 1-2 weeks to avoid tachycardia, hypertension,sever
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angina,MI, dyrthemias
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Atenolol therapeutic use - ANS-hypertension,angina,prophylaxis and acute MI
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Atenolol side effects - ANS-Drowsiness, DZ, fainting, depression, weakness, N/V,
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diarrhea, cool extremities,erectile dysfunction, HA, fatigue
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Atenolol adverse effects - ANS-bradycardia, hypotension, HF, dyspnea, tachycardia
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Atenolol contraindications/precautions - ANS-bronchoconstriction may occur- extreme
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caution with COPD and asthma
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DO NOT STOP ABRUPTLY
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Nursing Process with adrenergic antagonist - ANS-teach patient how to take BP
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Cholinergic agonists - ANS-integrated cholinergic receptors in organs, tissues and
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glands
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cholingeric agonists major response - ANS-stimulates bladder and Gi tone, constrict
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pupils, increased neuromuscular transmission
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Bethanechol Chloride therapeutic use - ANS-urinary retention & neurogenic bladder
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, Bethanechol Chloride S/E - ANS-N&V, diarrhea, abd cramps, hypersalvation,
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diaphoresis, HA, dizziness, urinary frequency & urgency
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Bethanechol Chloride adverse - ANS-tachycardia, hypotension, life threatening=
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bronchospasm, wheezing
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contradicted: intestional/urinary obstruction, IBS, bradycardia, hypotension, COPD ,
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asthma
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Pilocarpine - ANS-constrict pupils of the eyes promoting the Schlemm canal to promote
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draining of aqueous humor.
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used to treat glaucoma by relieving intraocular fluid pressure
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Atropine therapeutic uses - ANS-Pre-op to reduce secretions, increase HR
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Atropine Side Effects - ANS-drowsiness,nausea,dry mouth, HA, confusion, blurred
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vision, constipation, insomnia
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Atropine adverse effects - ANS-tachycardia, hypotension/hypertension, pulmonary
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edema, seizures, coma, laryngospasm, dysrythmias
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Atropine Contraindications - ANS-renal, hepatic, respiratory impairment, urinary
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retention
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Benzotropine therapeutic use - ANS-( park the Benz) decrease involuntarily spasms of
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Parkinson's
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benztropine side effects - ANS-N,V, dry mouth, constipation, dizziness, drowsiness, HA,
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blurred vision
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Benztropine adverse effects - ANS-tachycardia, ocular hypotension, ileus. caution:
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tachycardia cardiac disease, glaucoma
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Tolterodine therapeutic uses - ANS-decrease urinary frequency urgency and
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incontinence
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Tolterodine Tartrate side effects - ANS-dry mouth, dry eyes, urinary retentions, h/a,
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dizziness, fatigue, constipation, HA drowsiness blurred vision
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Tolterodine Tartrate adverse - ANS-tachycardia, chest pain, angioedema. Steve
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Johnson syndrome avoid grapefruit juicr
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Cabidopa/Levodopa therapeutic use - ANS-relieve tremors and rigidity d/t Parkinson's
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disease
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Carbidopa/Levodopa side effects - ANS-N,V, anorexia fatigue, dizziness, HA, dry n n n n n n n n n
mouth, blurred vision, insomnia, constipation
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