Pharmacology final keiser university 2023 Exam
Dopamine (Intropin) =
*Alpha- and Beta-Adrenergic Agonists* =
sympathetic nervous system
agonists = are just going to increase what they already do - (Correct Answer) dopamine, dobutamine, ephedrine, epinephrine, norepineprhine
Indica...
Pharmacology final keiser university
2023 Exam
Dopamine (Intropin) =
*Alpha- and Beta-Adrenergic Agonists* = sympathetic nervous system
agonists = are just going to increase what they already do - (Correct Answer) dopamine, dobutamine, ephedrine, epinephrine, norepineprhine
Indications: used to treat
shock
hypotensive episodes
CHF
A/E:
hypertension, arrhythmias, palpitations
n/v
headache dyspnea *Monitor:* BP, Pulse, ECG/EKG, cardiac output, urine output, I&O.
Drug-to-Drug:
Caffiene
TCA's
MAOI's
Halogenated hydrocarbons = general anesthetics
*Have *phentolamine* on standby for extravasation
↓ - (Correct Answer) Alpha-Specific Adrenergic agonists
*Drugs In This Class:*
• *Phenylephrine* (Neo-Synephrine and others) • Midodrine (ProAmantine)
• Clonidine (Catapres) - (Correct Answer) *Contraindications:*
• Severe hypertension, tachycardia
• Narrow-angle glaucoma
A/E =
tachycardia, severe hypertension *Monitor:* BP, heart rate, ECG/EKG, cardiac output, urine output, I&O, vision.
↓ - (Correct Answer) Alpha- & Beta-Adrenergic Blocking Agents non-selective antagonists
Drugs in this class:
• Amiodarone (Cordarone): Treatment of life-threatening ventricular arrhythmias,
atrial fibrillation
• Carvedilol (Coreg): Hypertension, congestive heart failure (adult)
• Labetalol (Normodyne, Trandate): Hypertension, pheochromocytoma, clonidine withdrawal - (Correct Answer) *Indications:*
ventricular arrythmias
atrial fibrilation, essential hypertension
N/A: *Do not discontinue abruptly* = taper off slowly
Monitor BP, EKG, heart rate, IV pumps • Encourage lifestyle changes if you have essential hypertension or AFIB (less stress)
• Monitor for *any signs of liver failure*
• Monitor for *GI upset*: nausea, diarrhea
*Amiodarone* can cause pulmonary fibrosis = so monitor lung sounds.
*Drug-to-Drug* interactions:
• Caffiene
• TCA's
• MAOI's
• Halogenated hydrocarbon = general anesthetics
↓ - (Correct Answer) *Propranolol* (Inderal) = Non-selective Beta-Adrenergic Blocking Agents - (Correct Answer) Indications:
• Treatment of hypertension, angina, essential tremors (from other medications), migraines.
A/E:
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