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Pharm 2
| Question | Answer |
|---|---|
| Adrenergic Drugs (4) | Adrenalin, Levophed, Intropin, Isuprel |
| Adrenalin Uses (5) | Topically applied to capillaries to stop bleeding from superficial areas/abrasions.Not applied to fingers/toes.Local anesthetic delays absorption & prolongs action; treats anaphylaxis;treats acute asthma & open angle glacoma;antedote for O.D. |
| Levophed Use | Used to restore BP in acute hypotensive state; given IV - ICU, CCU |
| Intropin Action | Stimulates Beta 1 |
| Isuprel NI (3) | Notify DR if HR >100, monitor BP, if used as inhalation, tell pt that sputum & saliva may appear pink b/c solution turns pink on exposure to air |
| Adrenergic Drug SE (8) Adrenalin | hypertension, nervousness, headache, restlessness, tachycardia, palpatations, anxiety, dizziness/weakness |
| Alpha-Adrenergic Block Agent Drug | Regitine |
| Regitine Action | Blocks alpha stimulation so vasodilation occurs and relaxes smooth muscle of blood vessel |
| Beta-Adrenergic Blocking Agents (5) | Inderal, Visken, Lopressor, Tenormin, Timoptic |
| Inderal Use (5) | To treat arrthymias hypertension, angina after MI to prevent recurrence, migraine, headaches, stage fright |
| Visken Use | Treats hypertension |
| Lopressor Action | Act by plugging Beta receptor preventing cateblamines from stimulating receptors block B1&B2, cardiac resistance & depress renin secretion |
| Timoptic Action & NI (4) | action - reduces formation of aqueous humor; NI - when admin place in lower conjunctival sac & put pressure on inner canthis for lumin; bottle matches order; if boxed open & check bottle; when using different eyes drops give 5 min apart |
| Beta-Adrenergic Block Agents SE (9) | bradycardia, orthostatic hypotension, bronchospasm, diarrhea/constipation, weakness, insomnia, sedation, impitence, potentiate glucose levels in pts w/ diabetes mellitus |
| Antiadrenergic Agents-Central Acting Drug | Catapres |
| Catapres NI | Based on SE |
| Cholinergic Agents Drug (5) | Urecholine, Tensilon, Mestinon, Mytelase, Pilocar |
| Urecholine Action | Action - contracts muscle of bladder & relaxes bladder sphincter |
| Urecholine, Tensilon & Mestinon Use | Dx of myasthania gravis |
| Mestinon SE (3) | Increased bronchial secretion, cardiac arrthymias, muscle weakness |
| Mytelase NI | Give on time, if not wont be able to swallow because throat will close |
| Pilocar Use & SE (3) | Use - treat glacoma; SE - blurred vision, suborbital headache around eye, temporal headache |
| Anticholinergic Agents Drugs (2) | Atropine sulfate & Pro-Banthine |
| Atropine Sulfate Use (4) & SE (6) | Use - drug of choice in treatment of bradycardia, reduction of bronchial & oral secretions, antedote for cholinergic drugs, mydriatics; SE - dry mouth, blurred vision, constipation, urinary retention, tachycardia, decreased sweating |
| Atropine Sulfate & Pro-Banthine NI (4) | Hold if pulse is > 90-100; 30min-1hr before meals increase fluids, fruits & fibers; contraindicated in pts w/glacoma, MI, CHF, tachycardia; cautiously in pts w/benign prostate, hypertrophy, urinary retention, hyperthyroidism & hypertension |