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Pharm Ch. 18
Adrenergic Drugs
Question | Answer |
---|---|
What is adrenergic agonists? | drugs that stimulate and mimic the actions of the sympathetic nervous system |
What is adrenergic recptors? | receptor sites for the sympathetic neurotransmitters nerepinephrine and epinepherine |
What is alpha adrenergic receptors? | A class of adrenergic receptors that are further subdivided into alpha 1 and alpha 2 adrenergic receptors and are differentiated by their anatomic location in the tissues, muscles, and organs |
What are autonomic functions? | Bodily functions that are involuntary and result from the physiologic activity of the ANS. |
What is autonomic nervous system? | a branch of the PNS that controls autonomic bodily functions, it consists of the SNS and the PNS |
What are beta adrenerfic receptors? | receptors located on postsynaptic effector cells of tissues, muscles and organs stimulated by specific autonomic nerve fivers |
What are catecholamines? | substances that can produce a sypathomemetic response. they are either endogenous catecholamines of synthetic catecholamines |
What are dopaminergic receptors? | a third type of adrenergic receptor located in various tissures and organs and activated by the binding of the neurotransmitter dopamine, which can be either endogenous or a synthetic drug form |
What is mydriasis? | pupillary dilation, whether natural |
What is ophthalmics? | drugs that are used in the eye |
What is positive chroniotropic effect? | an increase in heart rate |
What is positive dromotropic effect? | an increase in the conduction of cardiac electrical impulses through the AV node, which results in the transfer of nerve action potentials from the atria to the ventricles. |
What is positive inotropic effect? | an increase in the force of contraction of the heart muslce |
What are sympathomemetics? | drugs used therapeutically that mimic the catecholamines epinephrine, noepinephrine, and domapine |
What is synaptic cleft? | the space either between two adjacent nerve cell membranes or between a nerve cell membrace and an effector organ cell membrane |
What do catecholamines stimulate? | the SNS |
The nurse caring for a pt who is receiving beta 1 agonist drug therapy needs to be aware that these drugs cause? | Increased cardiac contractility |
During a teaching session for a pt who is recieving inhaled salmeterol, the nurse emphasizes that the drug is indicated for? | prevention of bronchospasm |
For a pt receiving a vasoactive drug such as intravenous dopamine, which action by the nurse is most appropriate? | Assess the IV site hourly to rule out infiltration |
A pt is receiving dobutamine for shock and is compaining of feeling more skipping beats than yesterday. the nurse's next action should be? | Assess the pt's vital signs and cardiac rhythm |
When a drug is characterized as having a negative chronotropic effect, the nurse knows to expect? | Decreased heart rate |