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NUR 339 ( LATEST 2024 / 2025 ) FINAL DRUGS | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED) $15.99   Add to cart

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NUR 339 ( LATEST 2024 / 2025 ) FINAL DRUGS | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)

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NUR 339 ( LATEST 2024 / 2025 ) FINAL DRUGS | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)

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  • October 23, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 339 Fin
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NUR 339 Final Drugs
1. Epinephrine (Adrenaline)
Epi-Pen

Answer
Adrenergic drug - SNS stimulation

Treats

anaphylaxis, shock and cardiac arrest, bronchoconstriction. Action

Increases CO, blood flow, BP, causes bronchodilation.

AEs

dysrhythmias, HTN, excess CNS stimulation.

2. Norepinephrine (Levophed) IV drip
Answer
Adrenergic drug - SNS stimulation Action

stimulates alpha receptors only--vasoconstriction

Use

severe hypotension, stimulates vasoconstriction -> increasing BP AEs" severe decrease in blood
flow to periphery (decreases it further) NIs

assess cap refill, pulses, and temp.

3. Dopamine (Intropin)
Answer
Adrenergic drug - SNS stim. Variable effects

Low

increase renal blood

Med

,increase HR and CO (positive inotropic) High

alpha-vasoconstriction and increase BP.

AEs

dysrhythmia, tachycardia, decreased blood flow to periphery. IV infiltration -> tissue necrosis
with extravasation -> Regitine (phentolamine) ANTIDOTE

4. Prazosin (Minipress)
Answer
Anti-adrenergic - SNS inhibitor. ALPHA Adrenergic antag- onist

Use


treats hypertension

Action

occupy the alpha-receptor sites on smooth muscle of blood vessels -> vasodilation, decrease
peripheral vascular resistance, decrease BP

AEs

1st dose effect

decreases BP & syncope due to orthostatis hypotension. NIs

Give bedtime, monitor BP and flushing.

5. Propranolol (Inderal)
Answer
Anti-adrenergic - SNS inhibitor.BETA adrenergic antago- nists (blockers)

Use

hypertension, HF, some dysrhythmias, migraine, angina, and glaucoma. Actions

, decrease BP and force of contractions, decrease HR

AEs

hypotension, blurred vision, bradycardia, mental depression.

Avoid with asthma (causes bronchospasms) Teach to take pulse once a week.

6. Bethanecol (Urecholine)
Answer
Cholinergic drug - PNS stimulation Direct-acting- stimulates the cholinergic receptors

Use

treats urinary retention and paralytic ileus

AEs

n/v/d, bronchoconstriction, increase resp and oral secretions, bradycardia, decrease LOC ->
coma, pupil constriction (miosis)

7. Neostigmine (Prostigmin) OR
Pyridostigmine

Answer
Cholinergic - PNS stimulation Indirect-acting -- blocks acetylcholinesterase



Use

treats MG, reverse neuromuscular blockers, treat Alzheimer's Antidote for cholinergic OD? -->
ATROPINE

8. Atropine
Answer
Anticholinergic - PNS inhibitor

Increases HR in symptomatic bradycardia and heartblock. Treats bradycardia and
bronchoconstriction

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