2
Galen Pharmacology exam 2 with accurate detailed solutions
|| || || || || || ||
Adrenergic Agonist ||
epinephrine: activates the SNS by increasing BP (alpha1), HR (beta1) and promotes
|| || || || || || || || || || || ||
bronchioldilation (beta2) ||
SNS response from adrenergic agonists
|| || || ||
agents that activate adrenergic receptors in the sympathetic nervous system causing
|| || || || || || || || || ||
o Dilates pupils, increases intraocular pressure
|| || || || ||
o Dilates bronchioles
|| ||
o Increases heart rate and strength of contractions
|| || || || || || ||
o Constricts blood vessels and increases BP
|| || || || || ||
o Reduces GI secretions and motility
|| || || || ||
o Relaxes bladder and decreases urination
|| || || || ||
o Decreases contractions and relaxes the uterus
|| || || || || ||
o Increases glycosis (glucose release) and blood glucose
|| || || || || || ||
Indications for epinephrine || ||
o Asthma and bronchospasm
|| || ||
o Allergic reaction, anaphylaxis
|| || ||
o Severe hypotension, cardiac arrest
|| || || ||
o Nasal congestion
|| ||
,2
Side effects-epinephrine
||
Anorexia, nausea, restlessness, insomnia, hyperglycemia, headaches, sweating, dizziness,
|| || || || || || || ||
agitation and anxiety || ||
adverse reactions-epinephrine
||
Palpitations, tachycardia, ventricular fibrillation, dyspnea, hyperglycemia, hypertension,
|| || || || || || ||
necrosis at IV site || || ||
Contraindications-epinephrine
pregnant women, cardiac disease, diabetes, older adults. Closed angle glaucoma
|| || || || || || || || ||
Nursing interventions-epinephrine
||
-Monitor vital signs at baseline and after administration. -Monitor Blood glucose levels
|| || || || || || || || || || ||
-monitor EKG ||
-ensure Pt knows how to use pen and demonstrates, check contents of pen, no pink or
|| || || || || || || || || || || || || || || ||
brown
-Pt should not be using epipen frequently
|| || || || || ||
-use at first sign of s/s of allergic reaction
|| || || || || || || ||
-have pen with them all the time, not to store in extreme cold of hot temps
|| || || || || || || || || || || || || || ||
-go to ER after having to use it
|| || || || || || ||
,2
-hold pen in skin for 5-10 seconds after auto injector goes off
|| || || || || || || || || || ||
-massage injection site
|| ||
Interactions of epinephrine || ||
o MAOIs
||
o Tricyclic antidepressants
|| ||
o Beta blockers
|| ||
o Digoxin
||
o Lab- increased blood sugar
|| || || ||
Beta 2 adrenergic Agonist
|| || ||
Albuterol -which relaxes smooth muscles which promotes bronchodilation
|| || || || || || ||
indications for Albuterol || ||
o Bronchospasms
||
o Asthma
||
o Bronchitis
||
, 2
o COPD
||
side effects of albuterol
|| || || ||
o Tremors
||
o Nervousness
||
o Restlessness
||
o Insomnia
||
o GI upset
|| ||
o Sweating
||
-agitation
-anxiety
-drowsiness
adverse reactions of albuterol
|| || ||
o HTN
||
o Tachycardia
||
o Palpitations
||
o Hyperglycemia
||
-cardiac dyrhthymias ||
Contraindications of albuterol || ||
Galen Pharmacology exam 2 with accurate detailed solutions
|| || || || || || ||
Adrenergic Agonist ||
epinephrine: activates the SNS by increasing BP (alpha1), HR (beta1) and promotes
|| || || || || || || || || || || ||
bronchioldilation (beta2) ||
SNS response from adrenergic agonists
|| || || ||
agents that activate adrenergic receptors in the sympathetic nervous system causing
|| || || || || || || || || ||
o Dilates pupils, increases intraocular pressure
|| || || || ||
o Dilates bronchioles
|| ||
o Increases heart rate and strength of contractions
|| || || || || || ||
o Constricts blood vessels and increases BP
|| || || || || ||
o Reduces GI secretions and motility
|| || || || ||
o Relaxes bladder and decreases urination
|| || || || ||
o Decreases contractions and relaxes the uterus
|| || || || || ||
o Increases glycosis (glucose release) and blood glucose
|| || || || || || ||
Indications for epinephrine || ||
o Asthma and bronchospasm
|| || ||
o Allergic reaction, anaphylaxis
|| || ||
o Severe hypotension, cardiac arrest
|| || || ||
o Nasal congestion
|| ||
,2
Side effects-epinephrine
||
Anorexia, nausea, restlessness, insomnia, hyperglycemia, headaches, sweating, dizziness,
|| || || || || || || ||
agitation and anxiety || ||
adverse reactions-epinephrine
||
Palpitations, tachycardia, ventricular fibrillation, dyspnea, hyperglycemia, hypertension,
|| || || || || || ||
necrosis at IV site || || ||
Contraindications-epinephrine
pregnant women, cardiac disease, diabetes, older adults. Closed angle glaucoma
|| || || || || || || || ||
Nursing interventions-epinephrine
||
-Monitor vital signs at baseline and after administration. -Monitor Blood glucose levels
|| || || || || || || || || || ||
-monitor EKG ||
-ensure Pt knows how to use pen and demonstrates, check contents of pen, no pink or
|| || || || || || || || || || || || || || || ||
brown
-Pt should not be using epipen frequently
|| || || || || ||
-use at first sign of s/s of allergic reaction
|| || || || || || || ||
-have pen with them all the time, not to store in extreme cold of hot temps
|| || || || || || || || || || || || || || ||
-go to ER after having to use it
|| || || || || || ||
,2
-hold pen in skin for 5-10 seconds after auto injector goes off
|| || || || || || || || || || ||
-massage injection site
|| ||
Interactions of epinephrine || ||
o MAOIs
||
o Tricyclic antidepressants
|| ||
o Beta blockers
|| ||
o Digoxin
||
o Lab- increased blood sugar
|| || || ||
Beta 2 adrenergic Agonist
|| || ||
Albuterol -which relaxes smooth muscles which promotes bronchodilation
|| || || || || || ||
indications for Albuterol || ||
o Bronchospasms
||
o Asthma
||
o Bronchitis
||
, 2
o COPD
||
side effects of albuterol
|| || || ||
o Tremors
||
o Nervousness
||
o Restlessness
||
o Insomnia
||
o GI upset
|| ||
o Sweating
||
-agitation
-anxiety
-drowsiness
adverse reactions of albuterol
|| || ||
o HTN
||
o Tachycardia
||
o Palpitations
||
o Hyperglycemia
||
-cardiac dyrhthymias ||
Contraindications of albuterol || ||
