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47 Cards in this Set

  • Front
  • Back
THE NERVOUS SYSTEM IS DIVIDED INTO WHAT TWO DIVISIONS?
CNS AND PNS
2 DIVISONS OF CNS
BRAIN AND SPINAL CORD
PNS DIVISIONS
SOMATIC-SKELETAL (CAN CONTROL)

AUTONOMIC- BREATHING, RESPIRATIONS (CAN'T CONTROL)
AUTONOMIC - DIVISIONS
SYMPATHETIC - FIGHT/FLIGHT AND ADREGERNIC SYSTEM

PARASYMPATHETIC - REST/DIGEST AND CHOLINERGIC SYSTEM.
MAIN NEUROTRANSMITTER FOR PARASYMPATHETIC SYSTEM IS WHAT
ACETOCHOLINE
MAIN NEUROTRANSMITTER FOR THE SYMPATHETIC SYSTEM IS WHAT
NOREPINEPHERINE
4 BASIC RECEPTORS FOR SYMPATHETIC (ADREGERNIC) BRANCH
ALPHA 1 AND 2
BETA 1 AND 2
WHAT IS A SYMPATHOMEMETIC AGONIST?
ACTS TO ENHANCE THE ACTION OF THE SYMPATHETIC SYSTEM (RELAXES SMOOTH MUSCLE)

TACHYCARDIA
BRONCHODIALATION
DECREASED DIGEST./URINATION
PUPIL DIALATION
WHAT IS A PARASYMPATHOMEMETIC AGONIST?
ENHANCES THE ACTION OF REST/DIGEST (STIMULATES SMOOTH MUSCLE), WHICH IS THE ACTION OF THE PARASYMPATHETIC DIVISION.

CONSTRICT PUPIL
STIM. SALAVATION
BRADYCARDIA
CONSTRICT BREATHING
STIM. DIGEST/SEX ORGANS
ACTION OF ALPHA 1
VASOCONSTRICTION

BRONCHIODIALATION

GI RELAXATION
ACTION OF ALPHA 2 (NOT AS IMPT. AS OTHER 3)
VASODIALATION

DECREASES NOREPHINEPHERINE
ACTION OF BETA 1
STIMULATES HEART

RENIN RELEASE

ADIPOSE BREAKDOWN
ACTION OF BETA 2
BRONCHIODIALATION

VASODIALATION

SMOOTH MUSCLE RELAXATION
DOPAMINE RECEPTORS - WHERE ARE THEY FOUND AND WHAT DIVISION CONTROLS THEM?
FOUND ON THE RENAL, CEREBRAL, AND CORONARY ARTERIES.

CONTROLLED BY SYPATHETIC
2 CLASSES OF ANTIHYPERTENSIVES
ARB'S AND ACE INHIBITORS
ARB'S
ANGIOTENSIN II RECEPTOR BLOCKERS
GOALS OF ANTIHYPERTENSIVE THERAPY
REDUCES PUMP ACTION
VASODILATION
REDUCE VOLUME
FIRST LINE OF DRUG THERAPY FOR HTN?
ADMINISTERING A DIURETIC
BLOOD PRESSURE RANGES
NORMAL IS: LESS THAN 120/80

PRE HTN: SBP 120 TO 139, DBP 80-89

STAGE 1 140/90 TO 159/99

STAGE 2: GREATER THAN 160/100
4 CLASSES OF ANTIHYPERTENSIVES
ADRENERGIC-ACTING AGENTS
ACE INHIBITORS (ANGIOTENSIN-CONVERTING ENZYME INHIBITORS)
ARB'S (ANGIOTENSIN II RECEPTOR BLOCKERS)
CALCIUM CHANEL BLOCKERS (CCB'S)
WHAT IS THE BEST BP MED FOR DIABETICS
ACE INHIBITORS
ARB's
THREE TYPES OF ADRENERGIC-ACTING AGENTS
ALPHA 1 ADRENERGIC BLOCKERS (CAUSES VASODIALATION)

ALPHA 2 ADRENERGIC AGONISTS (CAUSE VASODIALATION)

BETA ADRENERGIC BLOCKERS (DECREASE HEART RATE, CONSTRICT BRONCHI)
TWO TYPES OF ANTIARRYTHMICS
CCB AND BB
HOW DO CCB'S (CALCIUM CHANNEL BLOCKERS WORK)?
CALCIUM STIMULATES MUSCLE CONTRACTIONS. SO BECAUSE THIS IS A BLOCKER, IT WILL BLOCK INFLUX OF CALCIUM INTO CELLS, WHICH WILL RELAX THE HEART
WHAT ANTI-ARRYTHMIC IS NOT IN ADRENERGIC SYSTEM?
CCB'S
SUFFIX OF BETA BLOCKERS
OLOL
SUFFIX OF ACE INHIBITORS
PRIL
SUFFIX OF CALCIUM BLOCKERS
THERE IS NO COMMON SUFFIX
IF A PATIENT HAS HTN, WHAT TYPE OF ADREGERNIC ANTIHYPERTENSIVE AGENT DO YOU ADMINISTER?
ALPHA 1 BLOCKER

ALPHA 1 ANTAGONIST

ALPHA 2 AGONIST

BETA ADREGERNIC BLOCKER
-SARTAN

EX: LO-SARTAN
ARB (ANGIOTENSIN II RECEPTOR BLOCKER)

MINIMAL S/E'S BUT VERY EXPENSIVE.
INE

EX:MINOXIDIL
DIRECT ACTING VASODIALATOR

ON MINOXIDIL, THE S/E IS HAIR GROWTH
WHEN WOULD HOLDING A BETA BLOCKER BE APPROPRIATE?
IF PULSE IS LESS THAN 60
WHAT INTERFERES WITH THE RENIN-ANGIOTENSIS-ALDOSTERONE SYSTEM?
ACE INHIBITORS
ADVERSE REACTIONS OF ACE INHIBITORS
ORTHOSTATIC HYPOTENSION
DIZZINESS
HEADACHE
DECREASED TASTE
CHRONIC DRY COUGH
HYPERKALEMIA
ACUTE RENAL FAILURE
TWO MOST IMPORTANT ADVERSE REACTIONS OF ACE INHIBITORS
CHRONIC DRY COUGH
HYPERKALEMIA
WHAT BLOCKS ANTIOGENSIN II TO SPECIFIC RECEPTORS
ANGIOTENSIN II RECEPTOR BLOCKERS
WHAT DO DIRECT ACTING VASODILATORS DO?
RELAX VASCULAR SMOOTH MUSCLES
WHEN ADMINISTERING MORE THAN ONE HTN DRUG, WHAT IS IMPORTANT TO KNOW?
THEY SHOULD ALL BE IN DIFFERENT CATEGORIES

ALL ACT DIFFERENTLY

MORE SIDE-EFFECTS, INCLUDING HYPOTENSION AND DIZZINESS
WHY CAN MORE THAN ONE ANTIHYPERTENSIVE MED. BE PRESCRIBED?
BECAUSE THEY WILL BE IN DIFFERENT CATEGORIES AND ACT DIFFERENTLY FOR THE SAME GOAL.
HOW LONG MIGHT ANTIHYPERTENSIVE THERAPY NEED TO BE ADMINISTERED IN ORDER TO ACHIEVE RESULTS?
SEVERAL WEEKS
WHEN D/C AN ANTIHYPERTENSIVE, WHAT IS A GUIDELINE?
DO NOT STOP ABRUPTLY
WHEN TAKING AN ORAL ANTIHYPERTENSIVE WHAT SHOULD'NT YOU DO?
SKIP DOSE
DOUBLE DOSE
WHAT NURSING INTERVENTIONS SHOULD YOU FOLLOW FOR A PATIENT ON AN ANTI-HTN?
MOVE AND CHANGE POSITION SLOWLY
DANGLE PATIENT AT BEDSIDE
MONITOR BP, PULSE, AND WEIGHT
WHAT MUST BE INCLUDED IN THE TREATMENT PLAN FOR THE PT. ON ANTI-HYPERTENSIVES?
BALANCE DIET
ADEQUATE EXERCISE
STRESS PREVENTION
FUNCTION OF DIURETICS
PROMOTE FORMATION AND EXCRETION OF URINE
GOALS OF THERAPY FOR A PATIENT ON DIURETIC THERAPY
DECREASE BP
DECREASE EDEMA
CLASSIFICATIONS OF DIURETICS
CARBONIC ANHYDRASE INHIBITORS (CAI'S)
OSMOTIC
LOOP
POTASSIUM-SPARING
THIAZIDE AND THIAZIDE-LIKE