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Pharm 2

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
Created by: breinard