Galen College Cincinnati Pharm Exam 2| QUESTIONS WITH COMPLETE ANSWERS what do adrenergic agonists do? Correct Answer: they stimulate the sympathetic nervous system what is the sympathetic nervous system? Correct Answer: fight or flight response, decrease in digestion and excretion what are the 4 main adrenergic receptors? Correct Answer: Alpha 1, Alpha 2, Beta 1, Beta 2 Alpha 1 Correct Answer: blood vessels, periphe ral resistance and blood return to the heart, improved circulation and bp alpha 2 Correct Answer: inhibit release of norepinephrine, decrease in vasoconstriction which leads to vasodilation and decreased bp beta 1 Correct Answer: stimulation causes inc reased myocardial contractility and heart rate beta 2 Correct Answer: relaxation, bronchodilation of the lungs Epinephrine class Correct Answer: adrenergic agonist epinephrine use Correct Answer: emergencies to treat anaphylaxis, asthma, bronchospasm , status asthmaticus, cardiac arrest epinephrine side effects Correct Answer: anorexia, n&v, agitation, sweating, ha, pallor, insomnia epinephrine adr Correct Answer: tachycardia, palpitations, hypertension, dyspnea epinephrine increased effects Corre ct Answer: seen with TCAs and MAOIs albuterol class Correct Answer: beta 2 adrenergic agonist albuterol use Correct Answer: asthma and prophylaxis and treatment of bronchospasm albuterol side effects Correct Answer: tremors, restlessness, nervousness albuterol adr Correct Answer: tachycardia, palpitations, hypertension, hypokalemia, hyperglycemia albuterol contraindications Correct Answer: do not take with MAOIS because it will cause a hypertensive crisis albuterol increased effects Correct Answer: TCAs nursing process with adrenergic agonists Correct Answer: vitals, drug and health history (do not give with glaucoma or cardiac dysrhythmia), report side effects, monitor urinary ou tput-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 adrenergi c blockers do? Correct Answer: they promote vasodilation to decrease bp what do beta blockers do? Correct Answer: decrease hr and bp atenolol class Correct Answer: adrenergic blocker atenolol use Correct Answer: hypertension, angina, prophylaxis and treatment of acute MI atenolol side effectss Correct Answer: drowsiness, dizziness, weakness, nausea, diarrhea atenolol adr Correct Answer: bradycardia, hypotension, heart failure, dyspnea no LOL with Correct Answer: asthma atenolol contraindicatio ns Correct Answer: 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? Correct Answer: stimulate the parasympa thetic nervous system. stimulate bladder and GI tone, control pupils, increase neuromuscular transmission what is the parasympathetic nervous system Correct Answer: rest and digest bethanechol chloride class Correct Answer: cholinergic bethanechol chloride use Correct Answer: increase urination for those with urinary retention bethanechol side effects Correct Answer: orthostatic hypotension, tachycardia, blurred vision, excessive salivation, diarrhea, bronchoconstriction (increases bronchial sec retions) bethanechol adr Correct Answer: tachycardia, weakness, bronchospasm bethanechol nursing process Correct Answer: vitals, uo>1500mL/day, health and drug history, record I&o, give one hr before or two hrs after meals, report side effects, rise sl owly due to orthostatic hypotension pilocarpine class Correct Answer: cholinergic pilocarpine use Correct Answer: treats glaucoma by relieving intraocular pressure. constricts pupils of the eyes promoting the Schlemm canal to promote draining of the aq ueous humor
