CINCINNATI PHARM
Galen College Cincinnati Pharm Exam 2
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What do adrenergic agonists do? - ✔✔✔ - they stimulate the sympathetic nervous system
What is the sympathetic nervous system? - ✔✔✔ - fight or flight response, decrease in
digestion and excretion
What are the 4 main adrenergic receptors? - ✔✔✔ - alpha 1, alpha 2, beta 1, beta 2
Alpha 1 - ✔✔✔ - blood vessels, peripheral resistance and blood return to the heart, improved
circulation and bp
Alpha 2 - ✔✔✔ - inhibit release of norepinephrine, decrease in vasoconstriction which leads to
vasodilation and decreased bp
Beta 1 - ✔✔✔ - stimulation causes increased myocardial contractility and heart rate
Beta 2 - ✔✔✔ - relaxation, bronchodilation of the lungs
Epinephrine class - ✔✔✔ - adrenergic agonist
Epinephrine use - ✔✔✔ - emergencies to treat anaphylaxis, asthma, bronchospasm, status
asthmaticus, cardiac arrest
Epinephrine side effects - ✔✔✔ - anorexia, n&v, agitation, sweating, ha, pallor, insomnia
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Epinephrine adr - ✔✔✔ - tachycardia, palpitations, hypertension, dyspnea
Epinephrine increased effects - ✔✔✔ - seen with tcas and maois
Albuterol class - ✔✔✔ - beta 2 adrenergic agonist
Albuterol use - ✔✔✔ - asthma and prophylaxis and treatment of bronchospasm
Albuterol side effects - ✔✔✔ - tremors, restlessness, nervousness
Albuterol adr - ✔✔✔ - tachycardia, palpitations, hypertension, hypokalemia, hyperglycemia
Albuterol contraindications - ✔✔✔ - do not take with maois because it will cause a
hypertensive crisis
Albuterol increased effects - ✔✔✔ - tcas
Nursing process with adrenergic agonists - ✔✔✔ - 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? - ✔✔✔ - they promote vasodilation to decrease bp
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What do beta blockers do? - ✔✔✔ - decrease hr and bp
Atenolol class - ✔✔✔ - adrenergic blocker
Atenolol use - ✔✔✔ - hypertension, angina, prophylaxis and treatment of acute mi
Atenolol side effectss - ✔✔✔ - drowsiness, dizziness, weakness, nausea, diarrhea
Atenolol adr - ✔✔✔ - bradycardia, hypotension, heart failure, dyspnea
No lol with - ✔✔✔ - asthma
Atenolol contraindications - ✔✔✔ - 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? - ✔✔✔ - stimulate the parasympathetic nervous system.
Stimulate bladder and gi tone, control pupils, increase neuromuscular transmission
What is the parasympathetic nervous system - ✔✔✔ - rest and digest
Bethanechol chloride class - ✔✔✔ - cholinergic
Bethanechol chloride use - ✔✔✔ - increase urination for those with urinary retention
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