Exam (elaborations)
GALEN COLLEGE CINCINNATI PHARM EXAM 2
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GALEN COLLEGE CINCINNATI PHARM EXAM 2
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GALEN COLLEGE CINCINNATI PHARM EXAM 2What do adrenergic agonists do? - answers- they stimulate the sympathetic nervous
system
What is the sympathetic nervous system? - answers- fight or flight response, decrease
in digestion and excretion
What are the 4 main adrenergic receptors? - answers- alpha 1, alpha 2, beta 1, beta 2
Alpha 1 - answers- blood vessels, peripheral resistance and blood return to the heart,
improved circulation and bp
Alpha 2 - answers- inhibit release of norepinephrine, decrease in vasoconstriction
which leads to vasodilation and decreased bp
Beta 1 - answers- stimulation causes increased myocardial contractility and heart rate
Beta 2 - answers- relaxation, bronchodilation of the lungs
Epinephrine class - answers- adrenergic agonist
Epinephrine use - answers- emergencies to treat anaphylaxis, asthma, bronchospasm,
status asthmaticus, cardiac arrest
Epinephrine side effects - answers- anorexia, n&v, agitation, sweating, ha, pallor,
insomnia
Epinephrine adr - answers- tachycardia, palpitations, hypertension, dyspnea
Epinephrine increased effects - answers- seen with tcas and maois
Albuterol class - answers- beta 2 adrenergic agonist
Albuterol use - answers- asthma and prophylaxis and treatment of bronchospasm
Albuterol side effects - answers- tremors, restlessness, nervousness
Albuterol adr - answers- tachycardia, palpitations, hypertension, hypokalemia,
hyperglycemia
Albuterol contraindications - answers- do not take with maois because it will cause a
hypertensive crisis
Albuterol increased effects - answers- tcas
, Nursing process with adrenergic agonists - answers- vitals, drug and health history (do
not give with glaucoma or cardiac dysrhythmia), report side effects, monitor urinary
output-retention is possible, otc drugs-read labels for cold and diet meds, take as
prescribed, nose sprays/drops-may have rebound effects if used for a long time, epi-pen
give in outer thigh(if epi pen is needed more than 2x/wk notify md)
What do adrenergic blockers do? - answers- they promote vasodilation to decrease bp
What do beta blockers do? - answers- decrease hr and bp
Atenolol class - answers- adrenergic blocker
Atenolol use - answers- hypertension, angina, prophylaxis and treatment of acute mi
Atenolol side effectss - answers- drowsiness, dizziness, weakness, nausea, diarrhea
Atenolol adr - answers- bradycardia, hypotension, heart failure, dyspnea
No lol with - answers- asthma
Atenolol contraindications - answers- bradycardia, caution in patients with copd or
asthma because bronchoconstriction can occur. No nsaids. Taper to discontinue to
avoid tachycardia and hypertension
What do cholinergic agonists do? - answers- stimulate the parasympathetic nervous
system. Stimulate bladder and gi tone, control pupils, increase neuromuscular
transmission
What is the parasympathetic nervous system - answers- rest and digest
Bethanechol chloride class - answers- cholinergic
Bethanechol chloride use - answers- increase urination for those with urinary retention
Bethanechol side effects - answers- orthostatic hypotension, tachycardia, blurred
vision, excessive salivation, diarrhea, bronchoconstriction (increases bronchial
secretions)
Bethanechol adr - answers- tachycardia, weakness, bronchospasm
Bethanechol nursing process - answers- vitals, uo>1500ml/day, health and drug history,
record i&o, give one hr before or two hrs after meals, report side effects, rise slowly due
to orthostatic hypotension
Pilocarpine class - answers- cholinergic
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