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, peripheral 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 increased 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 Correct 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 output-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 adrenergic 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 contraindications 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 parasympathetic 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 secretions)
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 slowly 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 aqueous humor
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, peripheral 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 increased 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 Correct 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 output-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 adrenergic 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 contraindications 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 parasympathetic 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 secretions)
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 slowly 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 aqueous humor
