Pharm Exam 2
1.What is the Patho of Adrenergic Agonist: EPINEPHRINE Directly stimulates both Alpha and Beta receptors of the Sympathetic
Nervous System
2.What is the result of Adrenergic Agonist?: EPINEPHRINE Results in increase in cardiac stimulation, bronchodilation, cardiac
output, and blocks release of histamine.
3.What does alpha do to blood vessels?: Constricts blood vessels
4.What does beta do the blood vessels?: dilates blood vessels
5.What is the phrase to remember with adrenergic agonists?: fight or flight
6.What is the adrenergic agonist on our med list?: epinephrine 7. Indications for adrenergic agonist?: EPINEPHRINE anaphylaxis
cardiac arrest
8. Side Effects of adrenergic agonist?: EPINEPHRINE
insomnia
restlessness
tachycardia
hyperglycemia
headaches GI
disturbance
9. Adverse Reactions of adrenergic agonist?: EPINEPHRINE Ventricular Fibrillation- vfib Dyspnea
10. Patient teaching for adrenergic agonist?: EPINEPHRINE monitor VS at baseline AND after administration monitor blood
glucose
close monitoring of pregnant women, cardiac disease, diabetes, older adults, closed angle glaucoma
11. What are the 3 reasons for hyperglycemia?: Stress
Surgery
Steroids
12. What is the Patho of Adrenergic blocker?: ATENOLOL selectively blocks beta 1- adrenergic receptor sites, decrease
sympathetic outflow to the periphery, suppresses renin-angiotensin-aldosterone system.
13. What is beta 1?: the heart- think the body has 1 heart
14. What is beta 2?: the lungs- think the body has 2 lungs
15. What is the suffix of most beta blockers?: -olol
16. What is the adrenergic blocker on our med list?: Atenolol
17. Indications for Adrenergic Blockers?: ATENOLOL
,Hypertension
Tachycardia
18. What saying should we think of when we hear adrenergic blocker?: Think rest- the body is too high strung it needs a blocker
so it can rest
19. Side effects of Adrenergic Blockers: ATENOLOL dizziness depression
decreased libido (especially in men)
hypotension cool extremities fatigue
20. Adverse reactions of adrenergic blockers?: ATENOLOL bradycardia hypotension heart failure dyspnea
21. What are the 4 b's of beta blockers?: Bradycardia
Blood pressure
Blood sugar masking
Bronchoconstriction
22. Patient Teaching for Adrenergic Blockers?: ATENOLOL
Monitor VS before and after administration
Contraindicated in patients with bradycardia, heart block, pregnancy, and bronchospasm. monitor
diabetics DO NOT discontinue
Change positions slowly
Patient needs to know how to monitor BP and HR TEACHING!
23. What is the patho of cholinergic agonist?: BETHANECHOL CHLORIDE PILOCARPINE
Stimulates the cholinergic (muscarinic) receptors, promotes contraction of the bladder, increases GI secretions and peristalsis,
pupillary constriction, and bronchoconstriction.
24. What are the cholinergic agonists on our drug list?: Bethanechol Chloride
Pilocarpine
25. How to notice a cholinergic agonist by the name?: bethaneCHOL- go with the FLOW
26. Indications of cholinergic agonists: BETHANECHOL CHLORIDE PILOCARPINE
Urinary retention
constricts the pupil to relieve intraocular pressure, treats glaucoma
27. Side Effects of Cholinergic Agonists: BETHANECHOL CHLORIDE PILOCARPINE
, Pharm Exam 2
Urinary Frequency / Incontinence
Increased Secretions
Diarrhea
Vision Changes
Urgency
Dizziness
Flushing / Sweating
28. Adverse Reactions of Cholinergic Agonists: BETHANECHOL CHLORIDE
PILOCARPINE
Bradycardia
Weakness
Tachycardia
29. What saying do we think of when we hear cholinergic agonist?: SLUDG
S: salvation
L: Lacrimation (tears)
U: Urination
D: Diarrhea
G: GI upset
E: emesis (throw up)
30. What is bethanechol chloride known to treat specifically?: urinary retention- think
"beth can't pee"
31. What is pilocarpine known to treat specifically?: Glaucoma
32. What are the patient teachings for cholinergic agonist?: BETHANECHOL CHLORIDE PILOCARPINE
Monitor urinary and bowel patterns: GI / GU assessment vital
signs use cautiously in patients with:
GI obstructions
IBS bradycardia
hypotension
COPD
hyperthyroidism
1.What is the Patho of Adrenergic Agonist: EPINEPHRINE Directly stimulates both Alpha and Beta receptors of the Sympathetic
Nervous System
2.What is the result of Adrenergic Agonist?: EPINEPHRINE Results in increase in cardiac stimulation, bronchodilation, cardiac
output, and blocks release of histamine.
3.What does alpha do to blood vessels?: Constricts blood vessels
4.What does beta do the blood vessels?: dilates blood vessels
5.What is the phrase to remember with adrenergic agonists?: fight or flight
6.What is the adrenergic agonist on our med list?: epinephrine 7. Indications for adrenergic agonist?: EPINEPHRINE anaphylaxis
cardiac arrest
8. Side Effects of adrenergic agonist?: EPINEPHRINE
insomnia
restlessness
tachycardia
hyperglycemia
headaches GI
disturbance
9. Adverse Reactions of adrenergic agonist?: EPINEPHRINE Ventricular Fibrillation- vfib Dyspnea
10. Patient teaching for adrenergic agonist?: EPINEPHRINE monitor VS at baseline AND after administration monitor blood
glucose
close monitoring of pregnant women, cardiac disease, diabetes, older adults, closed angle glaucoma
11. What are the 3 reasons for hyperglycemia?: Stress
Surgery
Steroids
12. What is the Patho of Adrenergic blocker?: ATENOLOL selectively blocks beta 1- adrenergic receptor sites, decrease
sympathetic outflow to the periphery, suppresses renin-angiotensin-aldosterone system.
13. What is beta 1?: the heart- think the body has 1 heart
14. What is beta 2?: the lungs- think the body has 2 lungs
15. What is the suffix of most beta blockers?: -olol
16. What is the adrenergic blocker on our med list?: Atenolol
17. Indications for Adrenergic Blockers?: ATENOLOL
,Hypertension
Tachycardia
18. What saying should we think of when we hear adrenergic blocker?: Think rest- the body is too high strung it needs a blocker
so it can rest
19. Side effects of Adrenergic Blockers: ATENOLOL dizziness depression
decreased libido (especially in men)
hypotension cool extremities fatigue
20. Adverse reactions of adrenergic blockers?: ATENOLOL bradycardia hypotension heart failure dyspnea
21. What are the 4 b's of beta blockers?: Bradycardia
Blood pressure
Blood sugar masking
Bronchoconstriction
22. Patient Teaching for Adrenergic Blockers?: ATENOLOL
Monitor VS before and after administration
Contraindicated in patients with bradycardia, heart block, pregnancy, and bronchospasm. monitor
diabetics DO NOT discontinue
Change positions slowly
Patient needs to know how to monitor BP and HR TEACHING!
23. What is the patho of cholinergic agonist?: BETHANECHOL CHLORIDE PILOCARPINE
Stimulates the cholinergic (muscarinic) receptors, promotes contraction of the bladder, increases GI secretions and peristalsis,
pupillary constriction, and bronchoconstriction.
24. What are the cholinergic agonists on our drug list?: Bethanechol Chloride
Pilocarpine
25. How to notice a cholinergic agonist by the name?: bethaneCHOL- go with the FLOW
26. Indications of cholinergic agonists: BETHANECHOL CHLORIDE PILOCARPINE
Urinary retention
constricts the pupil to relieve intraocular pressure, treats glaucoma
27. Side Effects of Cholinergic Agonists: BETHANECHOL CHLORIDE PILOCARPINE
, Pharm Exam 2
Urinary Frequency / Incontinence
Increased Secretions
Diarrhea
Vision Changes
Urgency
Dizziness
Flushing / Sweating
28. Adverse Reactions of Cholinergic Agonists: BETHANECHOL CHLORIDE
PILOCARPINE
Bradycardia
Weakness
Tachycardia
29. What saying do we think of when we hear cholinergic agonist?: SLUDG
S: salvation
L: Lacrimation (tears)
U: Urination
D: Diarrhea
G: GI upset
E: emesis (throw up)
30. What is bethanechol chloride known to treat specifically?: urinary retention- think
"beth can't pee"
31. What is pilocarpine known to treat specifically?: Glaucoma
32. What are the patient teachings for cholinergic agonist?: BETHANECHOL CHLORIDE PILOCARPINE
Monitor urinary and bowel patterns: GI / GU assessment vital
signs use cautiously in patients with:
GI obstructions
IBS bradycardia
hypotension
COPD
hyperthyroidism
