NSG 511: PHARM EXAM 1
Albuterol (Proventil) - drug class - Answer- -beta 2 agonist (selective)
-bronchodilator
Albuterol (Proventil)- mechanism of action - Answer- -selectively targets beta 2
receptors of SNS on lungs, liver, and uterus
-mainly targets beta 2 receptors on the lungs
Albuterol (Proventil)- beneficial effects - Answer- -beneficial effects:
-bronchodilation
-easier to move air in and out of lungs
-decrease work of breathing for asthma Pt
Albuterol (Proventil)- nursing implications - Answer- -used for asthma
-aerosol (inhaler)
-indicated for expiratory wheezes
Epinephrine- drug class - Answer- beta agonist
Epinephrine- mechanism of action - Answer- non-selective beta 1, beta 2, alpha 1,
and alpha 2 agonist
Epinephrine- beneficial effects - Answer- -beneficial effects:
-bronchodilation
-vasodilation of heart, lungs, and skeletal muscle
Epinephrine- side effects - Answer- side effects:
-increased HR
-increased BP
-cool skin
-pupils dilate
-uterine muscles relax
-hyperglycemia
-increased oxygen demand
-light intolerance
-photophobia
Epinephrine- nursing implication - Answer- nursing implications
-parenteral/topical formulations only
-used in emergency asthma situations
atropine- drug class - Answer- muscarinic antagonist
anti-cholinergic
atropine- mechanism of action - Answer- -turns off (stops receptor stimulation)
muscarinic receptors
-decreases PNS activity = decreases rest/digest/secretions
, -non-selective cholinergic antagonist
atropine- beneficial effects - Answer- beneficial effects:
-mydriasis= pupil dilation (for ophthalmic exam)
-increases HR
-decreases diarrhea/dysentery
-dry pulmonary and GI secretions during surgery of at end of life
atropine- side effects - Answer- side effects:
-blurred vision
-photophobia (in bright lights)
-tachycardia
-constipation
-dry mouth
-anhidrosis (no sweat)
bethanechol (urecholine)- drug class - Answer- muscarinic agonist
bethanechol (urecholine)- mechanism of action - Answer- -target muscarinic
receptors of the urinary system
-detrussor contraction and sphincter/trigone relaxation via increase in PNS receptor
activity
bethanechol (urecholine)- beneficial effects - Answer- beneficial effects:
-emptying of bladder
-increased urination
-decrease bulge/tenderness
(still need to do bladder scan)
bethanechol (urecholine)- side effects - Answer- side effects:
-decreased BP (hypotension)
-salivation and peristalsis
-diarrhea
-bronchoconstriction and airway secretions
bethanechol (urecholine)- nursing implications - Answer- nursing implications:
-indications for urinary retentions
-contraindications for urinary/intestinal obstructions and recent bowel surgery
-have supplies/facilities ready
-notify provider if excess side effects occur
pyridostigmine (mestinon)- drug class - Answer- cholinesterase inhibitor
pyridostigmine (mestinon)- mechanism of action - Answer- -blocks
acetylcholinesterase (AChE)
-blocks breakdown of ACh = accumulation of ACh in neuromuscular junction
pyridostigmine (mestinon)- beneficial effects - Answer- beneficial effects:
-muscle strength and relief of symptoms
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Freshy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
