NUR 210: Pharmacology
Study Guide: Exam 3
1. Print and Review “Key Points” from Evolve for each Chapter (51, 52, 20, 21, 22, 23, 24, 29, 30, 31, 32,
33, 34)
2. Use your Class Lecture Notes as your primary study tool.
3. Review your Drug Cards for prototype drugs identified in lectures
3. Use your text book as needed to clarify information that was presented in class, or as directed in
class. It is rarely helpful to go back and spend time rereading entire chapters prior to the exam.
4. Review the Practice Questions posted with this Study Guide on Evolve
Areas of Emphasis:
Endocrine Drugs
1.Recognize signs/symptoms of hypothyroidism and hyperthyroidism and identify medications useful
for treating both conditions.
2. Patient teaching important for the use of levothyroxine (Synthroid)
3. List important nursing principles related to the use of corticosteroid drugs:
For use in correcting a corticosteroid deficiency vs treatment of inflammatory diseases
4. Recognize contraindications for the use of Growth Hormone in children (hint, page 764 in the text)
5. Describe signs and symptoms of Diabetes Insipidus, recognize two “ADH replacement” drugs, and
identify methods to assess if the replacement drug(s) is working.
Diabetes Drugs
1. Recognize differences between Type 1 and Type 2 Diabetes
2. Recognize drugs commonly used for Type 1 and Type 2 Diabetes
3. Recognize onset, peak and duration of action for rapid-acting, regular, intermediate and long-acting
insulins.
4. Discuss important principles of insulin administration
5. Identify how the following oral glucose-lowering drugs work, and important nursing considerations:
metformin (Glucphage), rosiglitazone (Avandia), glipizide (Glucotrol), sitagliptin (Januvia)
, Autonomic Nervous System Agents
1. Recognize the primary neurotransmitter for the sympathetic nervous system, and what affects it has
on alpha and beta receptors
2. Recognize the primary neurotransmitter for the parasympathetic nervous system, and what affects it
has on muscarinic and nicotinic receptors
3. Understand the action of Adrenergic Agonists (Adrenergics, Sympathomimetics)
On alpha and beta receptors, and/or on inhibiting norepinephrine inactivation
4. Describe the 3 classes of adrenergic agonists and prototypes for each
Direct-acting—Epinepherine and Norepinepherine
Indirect-acting—Amphetamine
Mixed-acting—Ephedrine
5. Why is albuterol (Ventolin) considered a selective adrenergic agonist?
6. Describe what Adrenergic Blockers (sympatholytics) are and how they work
Alpha-adrenergic blockers
Beta-adrenergic blockers (“Beta blockers”)
Non-selective (propranolol)
Selective (metoprolol, atenolol)
7. Discuss commonly used Direct-Acting Cholinergic Agonists (parasympathomimetics)
metoclopramide
pilocarpine
bethanechol
8. Discuss how Indirect-Acting Cholinergic Agonists (“anticholinesterases”, “cholinesterase inhibitors”,
“acetylcholinesterase inhibitors “) work and their common effects
9. Discuss what anticholinergics (parasympatholytics) are and how they work.
10. Discuss the commonly used anticholinergic atropine and what it is used for
Study Guide: Exam 3
1. Print and Review “Key Points” from Evolve for each Chapter (51, 52, 20, 21, 22, 23, 24, 29, 30, 31, 32,
33, 34)
2. Use your Class Lecture Notes as your primary study tool.
3. Review your Drug Cards for prototype drugs identified in lectures
3. Use your text book as needed to clarify information that was presented in class, or as directed in
class. It is rarely helpful to go back and spend time rereading entire chapters prior to the exam.
4. Review the Practice Questions posted with this Study Guide on Evolve
Areas of Emphasis:
Endocrine Drugs
1.Recognize signs/symptoms of hypothyroidism and hyperthyroidism and identify medications useful
for treating both conditions.
2. Patient teaching important for the use of levothyroxine (Synthroid)
3. List important nursing principles related to the use of corticosteroid drugs:
For use in correcting a corticosteroid deficiency vs treatment of inflammatory diseases
4. Recognize contraindications for the use of Growth Hormone in children (hint, page 764 in the text)
5. Describe signs and symptoms of Diabetes Insipidus, recognize two “ADH replacement” drugs, and
identify methods to assess if the replacement drug(s) is working.
Diabetes Drugs
1. Recognize differences between Type 1 and Type 2 Diabetes
2. Recognize drugs commonly used for Type 1 and Type 2 Diabetes
3. Recognize onset, peak and duration of action for rapid-acting, regular, intermediate and long-acting
insulins.
4. Discuss important principles of insulin administration
5. Identify how the following oral glucose-lowering drugs work, and important nursing considerations:
metformin (Glucphage), rosiglitazone (Avandia), glipizide (Glucotrol), sitagliptin (Januvia)
, Autonomic Nervous System Agents
1. Recognize the primary neurotransmitter for the sympathetic nervous system, and what affects it has
on alpha and beta receptors
2. Recognize the primary neurotransmitter for the parasympathetic nervous system, and what affects it
has on muscarinic and nicotinic receptors
3. Understand the action of Adrenergic Agonists (Adrenergics, Sympathomimetics)
On alpha and beta receptors, and/or on inhibiting norepinephrine inactivation
4. Describe the 3 classes of adrenergic agonists and prototypes for each
Direct-acting—Epinepherine and Norepinepherine
Indirect-acting—Amphetamine
Mixed-acting—Ephedrine
5. Why is albuterol (Ventolin) considered a selective adrenergic agonist?
6. Describe what Adrenergic Blockers (sympatholytics) are and how they work
Alpha-adrenergic blockers
Beta-adrenergic blockers (“Beta blockers”)
Non-selective (propranolol)
Selective (metoprolol, atenolol)
7. Discuss commonly used Direct-Acting Cholinergic Agonists (parasympathomimetics)
metoclopramide
pilocarpine
bethanechol
8. Discuss how Indirect-Acting Cholinergic Agonists (“anticholinesterases”, “cholinesterase inhibitors”,
“acetylcholinesterase inhibitors “) work and their common effects
9. Discuss what anticholinergics (parasympatholytics) are and how they work.
10. Discuss the commonly used anticholinergic atropine and what it is used for
