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30 Cards in this Set
- Front
- Back
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What type of drug is the drug of choice for acute anaphylactic reaction?`
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Epi
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What is the predominant effect of adrenergic drugs on alpha 1 receptors
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Vasoconstriction
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What effect on the eyes does an alpha 1 adrenergic drugs have
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Dilates the eyes
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What should you treat hypovolemic shock with?
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Lactated ringers, NS
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What are the symptoms of anaphylaxis shock?
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Laryngeal stridor, broncho spasms, hoarseness, stridor, urticaria
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When are adrenergic drugs contraindicated?
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Narrow angle glaucoma, hyperthyroidism, HTN
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Do you want to administer adrenergic drugs intradigital?
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Lose circulation
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What route can you not administer epiephrine?
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Oral because it breaks down to quick
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What would you want to monitor closely with the administration of neosyephrine IV?
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Increase in BP, nasal congestion
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Patient is taking the dietary supplement ephedra (ma huang) what would you want to assess and monitor in this patient?
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Blood pressure will increase.
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Why is the purchase of sudafed restricted?
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Meth drug use.
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What are the common side effects of IV adrenergics?
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Disrhythmia, HTN
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What effect can happen with the over use of neosynphrine?
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Rebound nasal congestion.
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If a patient is taking adrenergics for a cold and or congestion they are at risk for cardiac dysrhythmis and death if they take what type of medications?
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MAOI's
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The long term use of beta blockers requires patient to be monitored routinely for what?
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Cholesterol, lipid levels, increase LDL, decrease HDL
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When should the patient taking beta blockers not take the medicine and notify their doctor?
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If heart rate drops below 50
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How often should a patient change their trans-dermal clonidine (Catapress) patch?
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once a week.
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What is the early warning sign of hypoglycemia that may be blocked or affected by beta blockers?
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Masks symptoms of hypoglycemia tachycardia
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What lab work would you obtain to get a baseline kidney function when starting a patient on betaplace?
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Creatinine and clearance
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What is another use of phentolamine (regitine)? Used to reduce the risk of what with what drug?
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Given pre op to control BP /phenytoin
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Why is terazosin (hytrin) order for a patient who has urinary retention?
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Improves urine flow
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If a patient is taking methyldopa (Aldomet) what do you want to monitor them for?
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Causes liver damage, jaundice, Abd pain.
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What medication can be used to prevent migraine headaches?
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Indural
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Why would a patient with hyperthyroidism be prescribed propranolol (Indreral)
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Can be used to sow down HR, given for anxiety with mitral valve stenosis.
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What are the side effects a patient should notify their physician of immediately with the use of carvedilol (Coreg)?
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Cough, swelling, gain 2 lbs in 24hrs.
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A patient is prescrebed a beta blocker but decides to suddenly stop taking it what could this put the patient at risk for?
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angina / rebound HTN
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Other than mdication what non pharmacological methods could the patient do to help with their hypertension?
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Reduce stress, lose weight, exercise, decrease Na, decrease calories, stop smoking.
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What can the nurse educate the patient to do to decrease problems they may experience orthostatic hypotension while taking an antiadrenergic medication?
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Stand slowly.
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How should the patient with BPH take tamulsofin (flomax)?
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Same time of day, 30mins after eating.
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__________ drugs producde effects similar to those produced by stimulation of the sympathetic nervous system and therefore have widespread effects on body tissues.
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Andrenergic drugs
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