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30 Cards in this Set
- Front
- Back
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A response by stimulating adrenergic receptors
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"Fight or Flight"
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How are therapeutic effects & side effects determined?
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By selectivity of the medication
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What hormone can stimulate Adrenergic Agonists?
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Adreniline
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Which receptor causes Vaso-Constriction?
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Alpha-1
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Which receptor causes cardiac Stimulation?
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Beta-1
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Which receptor causes Bronodilation?
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Beta-2
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If a client has BPH, which drugs do you caution before giving?
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Aplpha-1 meds
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What meds are given for Hrpotension, shock, and anaphylaxis?
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Levophed(norepinepherine)
Adrenaline (epinephrine) |
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If a client has nasal congestion, which meds are commonly perscribed?
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Sudafed (pseudoephedrine)-oral
Afrin (oxymetozoline)-topical |
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What Aplha-1 drug do you not advice clients to take who ahve HTN, BPH, & insomnia?
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Sudafed
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OTC drugs can have what effect on the clients body?
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increased BP
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What are the contraindications for these types of medications?
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Chest Pain, Angina, HTN, dysyrthimas
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What are the side effects and/or limit theraphy?
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HTN, Tacycardia, Dysyrthimias, Angina
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What will a nurse notice in a client who is having an adverse side effect from these meds?
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palpatations, anxiety, nervousness, termors, dry mouth, or anorexa
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What is the primary manifestation of sympathamimetic toxcity?
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Severe HTN
Assess for: headache, confusion, seizures, and other realted CNS changes. |
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What is the adverse effects if taking asthma or other chronic lung mediations?
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may cause dizziness, palpitations, tremors, if drugs are OVERUSED.
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If a client who has DM, what will you monitor and why?
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Blood glucose levels as this type of med can elevate.
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If nasal decongestants are overused, what can happen?
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Rebound congestion may occur, so advise to use only for short term usage
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What should the client report to teh docs office if taking these meds at home?
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tremors, palpitations, changes in BP, dizziness, Urinary rention or chnages in skin itegrity
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Which medciations (non-selective or selective) enerally cause more autonomic related side effects?
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Non-Selective meds
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what does alpha-1 receptor treat?
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nasal congestion, hypotension, causes mydriasis (major dialtion of pupil)during opthalmic examinations
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What does Beta-1 receptor treat?
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Cardiac arrest, Heart Failure, and shock
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What does Beta-2 receptor treat?
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asthma and premature labor
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What stimualtes all 4 adrenergic receptors?
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EPINEPHRINE
(Mostly used for caridac arrest and asthma) |
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What receptors does Pseudoephedrine (Sudafed) stimulate?
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Alpha 1 and Beta 2
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Norepinephrine belongs to what class of agents?
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CATECHOLAMINES
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What are the administration alerts for these drugs?
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1. Parenteral adminsitraion can cause tissue injury with extravasation.
2. Ophthalmic drops may damage soft contact lenses. |
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What does Albuterol stimulate?
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Beta 2; used for asthma. Although a selective drug it still can stimualte Bet 1 receptors.
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Nursing implications
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Monitor for:
VS (HR, BP, RR) & for CP telemetry, EKG (check dysrthimais) UOP (30 mls/hr) IV site for infiltration look for expected theapeutic effects |
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Adrenaline (epinephrine) can be used for which receptors?
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Alpha 1, used for shock
Beta 2, used for asthma |
