NURS 309 - Final Exam Drug Review UPDATED ACTUAL
Questions and CORRECT Answers
- increased force of myocardial contraction effects of beta 1 adrenergic agonists:
- increased heart rate
- increased conduction of electricity through the heart
- increased blood pressure
- bronchodilation effects of beta 2 adrenergic agonists:
- uterine relaxation
- glycogenolysis in the liver
- increased blood pressure
- decreased GI motility
- increased blood pressure effects of alpha 1 adrenergic agonists:
- decreased GI motility
- constriction of bladder sphincter
- contraction of the uterus
- male ejaculation
- pupil dilation
the reversal of sympathetic activity by turning off alpha 1 effects of alpha 2 adrenergic agonists:
adrenergic agonist: epinephrine indicated for emergency situations including: anaphylaxis, severe acute asthma,
and cardiovascular collapse code drug
anaphylaxis self-injectable epinephrine, or an epipen, is used for ____ only (not milder allergic
reactions)
- have available whenever exposure is possible patient teaching for epinephrine:
- monitor expiration date
- must be seen in the ER after use
adrenergic agonist: dobutamine indicated for treatment of acute decompensated heart failure
increases cardiac output therapeutic effect of dobutamine:
urine output what is the best indicator for therapeutic effectiveness of dobutamine?
*dobutamine increases cardiac output: assess a patient's
cardiac output by monitoring their urinary output and
capillary refill
adrenergic agonist: dopamine very dose dependent drug
dilates blood vessels in the brain, heart, kidneys, and low doses of dopamine:
mesentery to increase blood flow to these areas
(dopaminergic activity)
, improves cardiac contractility and output (beta 1 moderate doses of dopamine:
adrenergic activity)
causes vasoconstriction and increases blood pressure high doses of dopamine:
(alpha 1 adrenergic activity)
adrenergic agonist: norepinephrine beta 2 adrenergic stimulation causes no effects on the lungs (so the drug is safe
to give to asthma patients, although it will have no effect on their asthma)
adrenergic agonist: phenylephrine indicated for red eyes and nasal congestion
adrenergic agonist: phenylephrine short-term treatment only: rebound nasal congestion can occur with prolonged
use
adrenergic agonist: fenoldopam exogenous dopamine
adrenergic agonist: fenoldopam must titrate to effective dose
- decreased blood pressure effects of alpha blockers:
- increased GI motility
- dilation of bladder sphincter
alpha blocker: phentolamine indicated for the extravasation of vasoconstricting drugs
- decreased force of myocardial contraction effects of cardioselective beta blockers:
- decreased heart rate
- decreased conduction of electricity through the heart
- decreased force of myocardial contraction, thus
reducing myocardial oxygen demand
- pupil constriction
- decreased force of myocardial contraction effects of nonselective beta blockers:
- decreased heart rate
- decreased conduction of electricity through the heart
- decreased force of myocardial contraction, thus
reducing myocardial oxygen demand
- pupil constriction
+++++
- bronchoconstriction
- decreased blood pressure
- bradycardia adverse effects of beta blockers:
- hypotension
- wheezing, bronchospasm (nonselective beta blockers)
- depression: beta blocker blues
- tremors, tachycardia, nervousness: masks the effects of
hypoglycemia
beta blocker: propranolol, carvedilol nonselective beta blocker: causes effects on the lungs
use caution in patients with chronic lung disease, asthma, bronchospasms, etc.
Questions and CORRECT Answers
- increased force of myocardial contraction effects of beta 1 adrenergic agonists:
- increased heart rate
- increased conduction of electricity through the heart
- increased blood pressure
- bronchodilation effects of beta 2 adrenergic agonists:
- uterine relaxation
- glycogenolysis in the liver
- increased blood pressure
- decreased GI motility
- increased blood pressure effects of alpha 1 adrenergic agonists:
- decreased GI motility
- constriction of bladder sphincter
- contraction of the uterus
- male ejaculation
- pupil dilation
the reversal of sympathetic activity by turning off alpha 1 effects of alpha 2 adrenergic agonists:
adrenergic agonist: epinephrine indicated for emergency situations including: anaphylaxis, severe acute asthma,
and cardiovascular collapse code drug
anaphylaxis self-injectable epinephrine, or an epipen, is used for ____ only (not milder allergic
reactions)
- have available whenever exposure is possible patient teaching for epinephrine:
- monitor expiration date
- must be seen in the ER after use
adrenergic agonist: dobutamine indicated for treatment of acute decompensated heart failure
increases cardiac output therapeutic effect of dobutamine:
urine output what is the best indicator for therapeutic effectiveness of dobutamine?
*dobutamine increases cardiac output: assess a patient's
cardiac output by monitoring their urinary output and
capillary refill
adrenergic agonist: dopamine very dose dependent drug
dilates blood vessels in the brain, heart, kidneys, and low doses of dopamine:
mesentery to increase blood flow to these areas
(dopaminergic activity)
, improves cardiac contractility and output (beta 1 moderate doses of dopamine:
adrenergic activity)
causes vasoconstriction and increases blood pressure high doses of dopamine:
(alpha 1 adrenergic activity)
adrenergic agonist: norepinephrine beta 2 adrenergic stimulation causes no effects on the lungs (so the drug is safe
to give to asthma patients, although it will have no effect on their asthma)
adrenergic agonist: phenylephrine indicated for red eyes and nasal congestion
adrenergic agonist: phenylephrine short-term treatment only: rebound nasal congestion can occur with prolonged
use
adrenergic agonist: fenoldopam exogenous dopamine
adrenergic agonist: fenoldopam must titrate to effective dose
- decreased blood pressure effects of alpha blockers:
- increased GI motility
- dilation of bladder sphincter
alpha blocker: phentolamine indicated for the extravasation of vasoconstricting drugs
- decreased force of myocardial contraction effects of cardioselective beta blockers:
- decreased heart rate
- decreased conduction of electricity through the heart
- decreased force of myocardial contraction, thus
reducing myocardial oxygen demand
- pupil constriction
- decreased force of myocardial contraction effects of nonselective beta blockers:
- decreased heart rate
- decreased conduction of electricity through the heart
- decreased force of myocardial contraction, thus
reducing myocardial oxygen demand
- pupil constriction
+++++
- bronchoconstriction
- decreased blood pressure
- bradycardia adverse effects of beta blockers:
- hypotension
- wheezing, bronchospasm (nonselective beta blockers)
- depression: beta blocker blues
- tremors, tachycardia, nervousness: masks the effects of
hypoglycemia
beta blocker: propranolol, carvedilol nonselective beta blocker: causes effects on the lungs
use caution in patients with chronic lung disease, asthma, bronchospasms, etc.
