(This study guide is more detailed than what you need to
know for the exam. For the medications, focus on
epinephrine (adrinergic agonist), bethanechol (cholinergic),
diphenhydramine (1st gen antihistamine), guaifenesin
(expectorant), atropine (anticholinergic), and albuterol
(selective beta-adrinergic agonist). Questions With Complete
Solutions
-Altered mental status
-Confusion
-Seizures, coma, and even death
-Muscle twitching/weakness
-Decreased cardiac contractility
-Polydipsia (thirst)
-Edema
-Decreased urine output
-Increased BP Correct Answers What are the s/s of
HYPERnatremia? (Think the brain!)
-Anaphylaxis (epipen)
-Cardiac arrest
-Shock
-Acute asthmatic attacks Correct Answers What is epinephrine
administered for?
-Blurred vision
-HTN
-Tachycardia
-Diaphoresis
-Increased salivation
,-Increased gastric acid
-Nausea/vomiting
-Diarrhea
-Abdominal cramps Correct Answers What are side effects of
bethanechol chloride?
-Cardiac dysrhythmias (ie. v-fib)
-Palpitations
-ECG changes
-Decreased HR
-Decreased BP
-Muscle twitching
-Tingling/numbness
-Diarrhea
-Abdominal cramping Correct Answers What are the s/s of
HYPERkalemia? (Think the heart!)
-Confusion
-Fatigue
-Seizures, coma, and even death
-Muscle weakness
-Excitable cell activity
-Abdominal discomfort
-Nausea/vomiting
-Decreased BP
-Weak thready pulse Correct Answers What are the s/s of
HYPOnatremia? (Think the brain!)
-COPD
-Asthma
-Bradycardia
, -HTN Correct Answers What are contraindications of using
bethanechol chloride?
-Dry mouth and dry eyes
-Hallucinations
-Urinary retention Correct Answers What are anticholinergic
effects?
-Epinephrine (nonselective sympathomimetic/adrinergic
agonist)
-Albuterol (selective beta-adrenergic agonist)
-Metaproterenol (selective beta-adrenergic agonist)
-Tiotropium (anticholinergic)
-Methylxanthines (includes aminophylline and theophylline)
Correct Answers What are examples of bronchodilators?
-Hydration status
-Food
-Weight
-Circulation
-Metabolism
-Stress
-Route of absorption (PO route has less absorption than IV
route) Correct Answers What are factors that impact drug
absorption?
-HYPERVENTILATION
-Anxiety
-High altitude Correct Answers What are the causes of
respiratory alkalosis?