Pharm exam 2
1.Drug class of Epinephrine: Adrenergic Agonist
2.Epinephrine is used to treat: Anaphlyaxis, cardiac arrest
3.Adverse reactions of Epinephrine: Palpations, tachycardia, hypertension, Pulmonary Edema/ Dyspnea
4.Side Effects of Epinephrine: Agitation, hyperglycemia, Gi distrubences, oliguria
5.Epinephrine monitor: Vital signs/ ECG
Blood glucose levels
IV site
6. Patient teaching for Epinepherine: Ok to inject through clothing (thigh) Diabetics monitor BG.
Monitor BP and HR after use.
Do not use OTC cold meds after use.
Anticipate feeling jittery or restless after use
7. Monitor these patients closely if given Epinepherine: Cardiac disease, diabetes, glaucoma
8. Atenolol drug class: Adrenergic blocker
9. Atenolol action: -selectivily blocks beta1-adrenergic
-decreases sympathetic outflow
10. Epinephrine action: stimulates both Alpha and Beta receptors
11. Atenolol is used to treat: hypertension, tachycardia, angina, mid/mod heart failure
12. Adverse reactions Atenolol: Bradycardia, hypotension
13. Side effects Atenolol: dizziness, decreased libido, hypotension, fatigue
14. Monitor what for Atenolol: VS prior and after admin, apical HR and rhythm
15. Patient teaching for Atenolol: how to check BP and HR, Do not discontinue abruptly, Fatigue and dizziness should improve
in 3-4 weeks, Diabetics need to increase BG monitoring
16. Use caution for Atenolol in pts with: bradycardia, heart block, bronchospasms/copd, diabetics
17. Bethanechol Chloride drug class: Cholinergic agonist
18. Pilocarpine drug class: Cholinergic agonist
19. Pilocarpine is used for: relieves intraocular pressure, treats glaucoma
20. Bethanechol chloride is used for: urinary retention
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, 21. Cholingeric agonists do what: Promotes contraction of the bladder; increases GI secretions and peristalsis
22. Adverse reactions of Cholinergic agonists: Bradycardia, hypotension, bronchospasms
23 Side effects of Cholinergic agonists: incontinence, increased secretions, gi distress, urgency 24. Cholinergic agonist pt teaching:
Monitor I/O and ensure adequate fluid intake. Oral care to manage increased secretions. monitor for s/s of cholinergic crisis-
uncontrollable incon, excessive diaphoresis, and significant vision changes
25. antidote for cholinergic crisis: Atropine
26. Contraindications for cholinergic agonists: IBS, PUD, Asthma
27. Monitor what in cholinergic agonist: urinary and bowel patterns; GI/ GU assessment; labs for
fluid balance
28. Atropine is used for: Cholinergic crisis, bradycardia, preop
29. Benztropine is used for: rigidity related to parkinsons & EPS
30. Toltreodine Tartrate is used for: over active bladder
31. Anticholingerics actions: Inhibits cholingeric activitity , decreases GI and GU activity and secretions
32. Atropine adverse reactions: Tachycardia, Angina
33. Benztropine adverse reactions: Tachycardia, Glaucoma
34. Tolterodine adverse reactions: tachycardia, angioedema, SJS
35. Side effects of anticholinergics: dry mouth, dry skin, constipation, urinary retention, blurred vision (cant see, cant pee,
cant poop, dry mouth)
36. Anticholinergic monitor what: VS, I&O, GI and GU
37. Contrindications/ cautions for anticholinergics: Glaucoma, BPH or Urinary retention, dementia, tarditive dyskinseia, HTN,
tachycardia, Myasthenia Gravis
38. Patient teaching for anticholinergics: Increase fluid intake, Report decreases in urine output, change positions slowly,
monitor BP and HR, Monitor for confusion in elderly
39. Carbidopa-levodopa drug class: Antiparkinson Dopamine replacement
40. Carbidopa-levodopa action: increases dopamine
41. Carbidopa-levodopa is used to treat: tremors and rigidity in Parkinsons
42. Side effects of Carbidopa-levodopa: urine discoloration (red, brown or black), GI changes, Anorexia, can't see, cant pee,
cant poop, dry mouth
43. Nursing interventions antiparkinsons: GI/GU function, PD symtoms, administer on time, assess neuro function and
nutritional status
44. contraindications/ cautions of antiparkinsons: cardiac, chronic mental illness, glaucoma
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1.Drug class of Epinephrine: Adrenergic Agonist
2.Epinephrine is used to treat: Anaphlyaxis, cardiac arrest
3.Adverse reactions of Epinephrine: Palpations, tachycardia, hypertension, Pulmonary Edema/ Dyspnea
4.Side Effects of Epinephrine: Agitation, hyperglycemia, Gi distrubences, oliguria
5.Epinephrine monitor: Vital signs/ ECG
Blood glucose levels
IV site
6. Patient teaching for Epinepherine: Ok to inject through clothing (thigh) Diabetics monitor BG.
Monitor BP and HR after use.
Do not use OTC cold meds after use.
Anticipate feeling jittery or restless after use
7. Monitor these patients closely if given Epinepherine: Cardiac disease, diabetes, glaucoma
8. Atenolol drug class: Adrenergic blocker
9. Atenolol action: -selectivily blocks beta1-adrenergic
-decreases sympathetic outflow
10. Epinephrine action: stimulates both Alpha and Beta receptors
11. Atenolol is used to treat: hypertension, tachycardia, angina, mid/mod heart failure
12. Adverse reactions Atenolol: Bradycardia, hypotension
13. Side effects Atenolol: dizziness, decreased libido, hypotension, fatigue
14. Monitor what for Atenolol: VS prior and after admin, apical HR and rhythm
15. Patient teaching for Atenolol: how to check BP and HR, Do not discontinue abruptly, Fatigue and dizziness should improve
in 3-4 weeks, Diabetics need to increase BG monitoring
16. Use caution for Atenolol in pts with: bradycardia, heart block, bronchospasms/copd, diabetics
17. Bethanechol Chloride drug class: Cholinergic agonist
18. Pilocarpine drug class: Cholinergic agonist
19. Pilocarpine is used for: relieves intraocular pressure, treats glaucoma
20. Bethanechol chloride is used for: urinary retention
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, 21. Cholingeric agonists do what: Promotes contraction of the bladder; increases GI secretions and peristalsis
22. Adverse reactions of Cholinergic agonists: Bradycardia, hypotension, bronchospasms
23 Side effects of Cholinergic agonists: incontinence, increased secretions, gi distress, urgency 24. Cholinergic agonist pt teaching:
Monitor I/O and ensure adequate fluid intake. Oral care to manage increased secretions. monitor for s/s of cholinergic crisis-
uncontrollable incon, excessive diaphoresis, and significant vision changes
25. antidote for cholinergic crisis: Atropine
26. Contraindications for cholinergic agonists: IBS, PUD, Asthma
27. Monitor what in cholinergic agonist: urinary and bowel patterns; GI/ GU assessment; labs for
fluid balance
28. Atropine is used for: Cholinergic crisis, bradycardia, preop
29. Benztropine is used for: rigidity related to parkinsons & EPS
30. Toltreodine Tartrate is used for: over active bladder
31. Anticholingerics actions: Inhibits cholingeric activitity , decreases GI and GU activity and secretions
32. Atropine adverse reactions: Tachycardia, Angina
33. Benztropine adverse reactions: Tachycardia, Glaucoma
34. Tolterodine adverse reactions: tachycardia, angioedema, SJS
35. Side effects of anticholinergics: dry mouth, dry skin, constipation, urinary retention, blurred vision (cant see, cant pee,
cant poop, dry mouth)
36. Anticholinergic monitor what: VS, I&O, GI and GU
37. Contrindications/ cautions for anticholinergics: Glaucoma, BPH or Urinary retention, dementia, tarditive dyskinseia, HTN,
tachycardia, Myasthenia Gravis
38. Patient teaching for anticholinergics: Increase fluid intake, Report decreases in urine output, change positions slowly,
monitor BP and HR, Monitor for confusion in elderly
39. Carbidopa-levodopa drug class: Antiparkinson Dopamine replacement
40. Carbidopa-levodopa action: increases dopamine
41. Carbidopa-levodopa is used to treat: tremors and rigidity in Parkinsons
42. Side effects of Carbidopa-levodopa: urine discoloration (red, brown or black), GI changes, Anorexia, can't see, cant pee,
cant poop, dry mouth
43. Nursing interventions antiparkinsons: GI/GU function, PD symtoms, administer on time, assess neuro function and
nutritional status
44. contraindications/ cautions of antiparkinsons: cardiac, chronic mental illness, glaucoma
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