NUR 250 Pharm Exam 3 Practice Questions and Correct Answers
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Course
NUR 250
Institution
NUR 250
What do beta blockers do? - Adrenergic blocking drugs - Block SNS - Slow cardiac rate, vasodilation, decreased pumping power of the heart - Treat: hypertension, angina, dysrhythmias -prevent future MI
Examples of Beta blockers? Inderal (propranolol), Tenormin (atenolol) - "lol"
What are the SE of...
NUR 250 Pharm Exam 3 Practice
Questions and Correct Answers
What do beta blockers do? ✅- Adrenergic blocking drugs
- Block SNS
- Slow cardiac rate, vasodilation, decreased pumping power of the heart
- Treat: hypertension, angina, dysrhythmias
-prevent future MI
Examples of Beta blockers? ✅Inderal (propranolol), Tenormin (atenolol)
- "lol"
What are the SE of beta blockers? ✅- bradycardia (check pulse), fatigue (take in pm),
hypotension, impotence, edema
teaching for beta blockers ✅- Check pulse before giving: if below 60-hold
- Check BP- SBP 90-hold
- Take in pm- fatigue
- Asthma- make worse or cause
- Watch for orthostatic hypotension
- Lifestyle changes
- Taper drug slowly
- Can increase glucose-watch diabetics
What is the onset for a beta blocker? ✅-Onset 1-2 weeks
What is Dopamine? ✅-Vasoactive drugs, used for cardiac shock, increase B/P,
prevents renal failure, dilate vessels in brain
What is the antidote for Dopamine? ✅Regitime
Teaching for Digoxin ✅-half life is 36 hours, so pt with renal failure need a smaller
dose
-have long half life- will need several days of therapy or a loading dose
-need to draw level- 6 hours after Po dose
What is the therapeutic level of Digoxin? ✅0.5-2ng/ml
what conditions can cause toxicity with Digoxin? ✅- Low potassium levels- normal
(3.5-5)
- High calcium levels- normal (8.5-10.2)
- Hypothyroidism TSH level
- Renal failure BUN and creatinine
treatment of Digoxin? ✅-Discontinue drug
-Correct predisposing factors: like low potassium
-Digoxin-immune Fab-give 0.5 mg to bind with amount in body-draw labs
What is epinephrine? ✅-Vasoactive drug
-Advanced cardiac life support(ACLS) drug
-medication in Epi pen for anaphylaxis
-reserve respiratory arrest
-can be given IV or if incubated
what are adrenergic drugs? ✅-Stimulate the sympathetic nervous system
-Mimic norepinephrine, epinephrine and dopamine: catecholamine
-Produce constriction of smooth muscles-alpha
-Increase cardiac contraction and heart rate-beta 1
-Relaxation of the bronchioles-beta 2
therapeutic uses of adrenergic drugs? ✅treat asthma, glaucoma, cardiac failure,
hypotension (vasopressor and vasoactive drugs)
thrombolytic drugs? ✅-"clot busters"
-Dissolve dangerous clots
-Restore oxygen blood flow
-Time: 4 hours administer with occurrence of symptoms
-Convert plasminogen to plasmin to break the fibrin
-Uses: acute MI, CVA,PE
examples of thrombolytic drugs? ✅Activase (TPA), TNKase
SE of thrombolytics ✅hemorrhage, cardiac arrythmias
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