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unit 3
drugs that affect the PNS
| Question | Answer |
|---|---|
| PNS - acetocholine is responsible for | nerve impulses across the PNS |
| used in | ICU IIV gtts emergency |
| catecholamines - used in | code blue doesnt cross the BBB |
| catecholamines restarts -----and increases----? | restarts heart muscles and increases electrical signals |
| catecholamines is also ____lived | short lived (half lived) , works intensely and instantly |
| non catecholamines are used | inhaler/ orally |
| non catecholamines are ____ lived | long lived |
| catecholamines affect the _____system | fight or flight response sympathetic nervous system |
| non catecholamines affect the ______system | rest and digest parasympathetic nervous system |
| catecholamines are refered to as the _________team vs non catecholamines called the ________team | code team / home team |
| catecholamines_______________agonist non catecholamines ________________agonist | adrenic / cholinergic |
| catecholamines examples | nor/epin |
| non catecholamines | acetochiline (anticholinegic)/ lytics |
| catecholamines-stop - sympathic fast 5 | fear/stress active/sweaty speedy heart tense BP increase shuts down digetive |
| catecholamines sypathtic example | beta blockers |
| non catecholamines blocks | pupils contstrict increase saliva slow heart rte stomach digestion sphincter relax |
| non catecholamines stop | acetocholine, parasympathetic |
| catecholamines examples | endogenous: norepinephrine, epinephrine, adrenaline, doamine, inotropin, levophed synthetic: dodutime, isoproterenol (dobutrex, isuprel) |
| non catecholamines used in and crosses ? | oral IV crosses BBB |
| non catecholamines examples | ephedrine, albuterol, brethine, phenylephrine, terbutaline, proventil, ventolin, neo-synephrine |
| catecholamines increases | blood flow to pt brain, increases HR , increases cardiac output, increases blood pressure and stimulates body |
| non catecholamines txts | nasal conjestion , could have rebound conjestion |
| catecholamines CNS S/A | insomnia, nervousness, |
| catecholamines indications | anaphalatic shock, CHF, Mild renal failure |
| non catecholamines indications | hypotension, asthma, nasal decongestion, premeture labor |
| catecholamines adverse reaction | tachycardia,hypertension,hyper glycima |
| non catecholamines | anxiety insomnia, tremors |
| catecholamines nurins considerations | monitor VS , EKG,monitor I&O, assess for extravasation (IV site) |
| catecholamines pt education | report chest pains or palputaitions |
| non catecholamines pt education | may feel jittery or anxiious |
| adrenergic blocking agents causes | nerve cell/ blood vessels to relax |
| alpha adrenic blockers examples | regitine |
| aplha andrenic blockers uses | HTN,raynauds (reduces blood flow to fingers /o2 decreases/ nube and cold) PVD (periherial vison disease ) |
| alhpa adrenice blockers uses | dialate arterial and veins |
| alhpha adrenice blockers S/A | nasal conjestion, rebound tachycardia , orthostatic hypotension, |
| alpha adrenic nursing: | check BP laying down , sitting and standing monitor umbness, tingling limit caffene |
| BETA adrenergic examples | atenolol,tenormin, - propernolol, inderal, metoperolo, lopressor |
| BETA adrenergic uses | HTN, angina, MI, anxiety, migranes , glaucoma |
| BETA adrenergic S/A ** | bradycardia, orthostatic hypotension, bronchospasm(esp in asthma, COPD) , Hypoglycima, depression,impotents |
| BETA adrenergic nursin | monitor EKG, VS Avoid decongestions and alcohol caution in respitory patients |
| BETA adrenergic prevents : | binding of nor epernephrine.epinephrine |
| Ganglionic Blockers are | heavy hitters in crisis |
| Ganglionic Blockers examples | inverine, arfonad |
| Ganglionic Blockers uses | hypertension crisis pulmonary edema |
| Ganglionic Blockers side affects | hypotension, brady cardia dry mouth dilated pupils constipation urinary retention |
| Ganglionic Blockers aide affect remebr this to help | cant see cant spit cant shit cant piss |
| Ganglionic Blockers nursin | confort for anticholinergic efffects (eg suger free candy ) |
| central acting antiadrenergics examples | clonidine uses in tabs,patches relaxes heart vessels |
| central acting antiadrenergics uses | HTN, hypertensive crisis |
| central acting antiadrenergics side affects | dizzyness, syncope |
| central acting antiadrenergics nursing | monitos BP DO NOT STOP ABRUPTLY avoid CNA depressants |
| Peripherally acting antiadrenergics examples | doxazosin, przosin, tamsulosin |
| Peripherally acting antiadrenergics uses | HTN, BPH |
| Peripherally acting antiadrenergics SIDE EFFECTS | DIZZYNESS,nasal congestion , fatigue |
| Peripherally acting antiadrenergics nursing: | given prazosin at bedtime monitor BP change postions SLOWLY |
| alhpa adrenice blockers does-- | vasodialation, decreases BP, dialator of BV smooth mucles muscle relazers and arteries, blood flow increase BP decrease |
| BETA adrenergic blockers does--- | prevents stimulation of heartl lowers HR and lowers BP COPD CANT TAKE BETA BLOCKERS |
| BETA 1 DRUG | CONTROLS HEART |
| BETA 2 DRUG | CNTRLS LUNGS Bronchoconstriction bronchro spasm |
| ganglionic blockers does---- | blcoks gangliac , blocks nerves lowers HR and caridiac output and blood pressues |
| Peripherally acting antiadrenergics does.... | relaxes smooth muslces no erectile disfunction meds |
| Cholinergic Agents (parasympathomimetics) --help remeber | increaase gastric motility and SLUDGE Saliva,Lacrimation,Urination,Defication,GI upset,Emisss |
| Cholinergic Agents (parasympathomimetics) EXAMPLE | Bethenole - cal beth fix ur baldder |
| Cholinergic Agents (parasympathomimetics) example | glaucoma: pilocarpine bladder autonomy ; urecholine stimulate parasympathetic activity urinary bladder control, retention and incontenice |
| Cholinergic Agents (parasympathomimetics) NURSING | MAKE SURE NO obstruction eleate BP asses sounds of bowel aplate baldder |
| Cholinergic Agents (parasympathomimetics) S/A | brady cardia hypotension NV/Cramping increases salivations |
| for increased salivatiions have : | atrpoine- antidote |
| Anti cholinesterase Agents : examples | tensiloon, neostigmine, pyridostigmine |
| tensilon use | to test for myasthenia gravis to confirm |
| neostigmine use | assess muscle strength, stop if sweathing or diahrea, muclse weakness and fatigue (TOXIC SWEATAND DIAHREA) |
| PYRIDOSTIGINE USE | MAINTINCE DRUG - if symptoms occur dont take |
| Anti cholinesterase Agents : use | myasthenia gravis , glaucoma |
| Anti cholinesterase Agents : S/A | Diaphoresis, brady cardia , N/V/D MUSLCE CRAMPS RESPIROTY DEPRESSION |
| Anti cholinesterase Agents : NURSIN | KEEP ATRPINE AT BEDISDE ACESS NUREO-MSUCLAR STATUS GIVE MEDS AT SAME TIME / STOP IF LOSE ABILITY TO SWALLOW |
| With atropine nursing intervention | monitor urinary retention educate dry mouth high fiber diets instrust to avoid hot enviroments |
| atrpoine remebr this | hot as a hare blind as a bat dry as a bone red as a barn mad as a hatter |
| Cholinergic blocker agents (anticholinergics) | TREATS bradycardia scoplamine patch/ monitor for drowzess and dry mouth |
| Cholinergic blocker agents (anticholinergics) exmaples | atropine,scopolamine,levsin,congentin |
| Cholinergic blocker agents (anticholinergics) use | pre op to redeuce secretions parkistons disease (DEPLETE DOPAMINE) motion sickness (SCOLOLIME PATCH) GI spasms |
| atropie contrididicts with | glaucoma increases eye pressure |
| atropine, levisine use with | DEATH RATTLE |
| Cholinergic blocker agents (anticholinergics) S/A | Dry mouth blurred vision dilated pupils constipation, urinary retention flushed skin, heat intolerance |
| Cholinergic blocker agents (anticholinergics) Nusing | monitor hydration and urinary output comfort care for dry mouth avoid use with CNS depression |
| Cholinergic blocker agents (anticholinergics) S/A how to remeebr | cant see cant piss cant shit cant spit |
Created by:
mmishue