Alpha2 receptors Correct Answer -Inhibits norepinephrine
release
•Promotes vasodilation and decreased BP
-Decreases GI motility and tone
alprazolam (Xanax) Correct Answer •Assessment/Recognize
cues
-Determine whether the client has a history of insomnia or
anxiety disorders
,-Obtain drug history of current drugs including OTC
-Assess renal function
•Nursing diagnosis/Generate hypotheses
-Sleep deprivation related to adverse effect of insomnia
•Planning/Judge hypotheses
-Patient will receive adequate sleep when taking
benzodiazepines.
Nursing interventions/Take action
-Observe the client for adverse reactions, especially an older or
debilitated client.
-Teach client to use nonpharmacologic methods to induce sleep.
-Advise clients to report adverse reactions.
-Teach client that benzodiazepines should be gradually
withdrawn.
Antidote - Flumazenil
Evaluate Outcomes
-Evaluate the effectiveness of sedative-hypnotic in promoting
sleep
alteplase (tPA) Correct Answer ▪Drug Interactions:
▪Increased bleeding when taken with:
▪Anticoagulants, NSAIDs, SNRIs, SSRIs, Cephalosporins
▪CAMs:
▪Increased bleeding with:
▪Ginkgo, garlic, feverfew, ginger, green tea, omega-3 fatty acids
Antigout Drugs Correct Answer Uric acid inhibitors -
allopurinol
Action
◦Decreases uric acid synthesis
◦Prevents gout attacks
Side effects
◦GI distress
◦Anemia and GI bleeding
Antiinflammatory drug groups Correct Answer Nonsteroidal
antiinflammatory drugs (NSAIDs)
Corticosteroids
Disease-modifying antirheumatic drugs
Antigout drugs
atropine sulfate Correct Answer Assessment/Recognize Cues
-Assess urine output as urinary retention may occur
-Obtain baseline vital signs
-Obtain the client's drug history
Nursing diagnosis/Generate hypotheses
-Urinary retention related to atropine administration.
-Oral mucous membrane, impaired related to decreased oral
secretions.
Planning/Judge hypotheses
-Patient secretions will be decreased before surgery.
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