NURS 316 Final Exam – Questions With Guaranteed
Solutions
Save
Terms in this set (333)
ADME stands for Absorption, Distribution, Metabolism, Excretion
ADME: organ responsible for M Liver is primary organ for metabolism
ADME: organ responsible for E Kidney is primary organ responsible for excretion
Actions to ensure med safety 5 rights, 3 checks
5 rights Right: patient, drug, dose, route, time, (+
documentation)
Actions to ensure med safety at Patient education to ensure they understand how to
discharge take their medication, adverse effects to look for,
possible drug-drug or drug-food interactions, and
any other information specific to their drug
Loading dose Usually a higher dose of the med given one time
(usually 1-2x as high). This is done to quickly increase
blood levels in order to quickly achieve therapeutic
levels
Maintenance dose Tends to be the daily dose that a patient will take as
long as they are on the drug. This keeps the plasma
levels constant.
Sympathetic nervous system controls Fight or flight
,Stimulating SNS will have impacts of Pupils dilate, lungs bronchodilate, heart rate
increases, blood vessels constrict (which increases
BP), GI smooth muscles relax, bladder muscles relax,
uterine muscles relax
Parasympathetic nervous system Rest and digest
controls
Stimulating PNS will have the impact Pupils constrict, lungs bronchoconstrict and increase
of secretions, heart rate decreases, blood vessels dilate
(which decreases BP), GI increases peristalsis,
bladder muscles constrict, salivary glands increase
secretions
SNS neurotransmitter types Norepinephrine (NE) and epinephrine (adrenaline)
SNS receptor types Alpha and beta
PNS neurotransmitter types Acetylcholine (ACh)
PNS receptor types Nicotinic and muscarinic
Drugs that mimic the SNS Sympathomimetic, adrenergic agonist, adrenergic
Drugs that block the SNS Sympatholytics, adrenergic blockers
Drugs that mimic the PNS Parasympathomimetics, cholinergics
Drugs that block the PNS Parasympatholytics, anticholenergics
Which drugs are for the ANS Atropine, bethanechol, phenylephrine, prazosin
Atropine trade name Atro-Pen, Atrovent
Atropine thera class Anti-arrhythmic, bronchodilator
Atropine pharm class Anticholinergic (antimuscarinic)
, Atropine action Inhibits the effects of the PNS, which causes an
increases in HR, bronchodilation, decreased GI and
resp secretions.
Atropine uses Used pre-op to decrease resp and GI secretions,
used for asthma/COPD (causes bronchodilation),
used for treatment of bradycardia
Atropine nursing considerations Avoid in acute hemorrhage, tachycardia, and angle,
closure glaucoma. Monitor for tachycardia and
palpitations. Geri consideration: may cause urinary
retention. May cause constipation due to slowed GI
motility
Atropine side effects result from Too much inhibition of ACh
Atropine side effects are Dryness of mouth, blurred vision, dry eyes,
photophobia, confusion, headache, dizziness,
fatigue, tachycardia, palpitations, flushing, urinary
hesitance or retention, constipation, abdominal pain,
abdominal distention, nausea, vomiting, loss of libido,
impotency
Bethanechol trade name Urecholine
Bethanechol thera class Treatment of urinary retention
Bethanechol pharm class Cholinergic, direct acting parasympathomimetic
Bethanechol action Directly stimulates the muscarinic receptors,
increasing the tone of the detrusor urinae muscle
(smooth muscle) of the bladder, giving a contraction
adequately effective to initiate peeing and emptying
of the bladder
Bethanechol uses Post-op (non obstructive) urinary retention,
neurogenic bladder (spinal cord injury or shock)
Solutions
Save
Terms in this set (333)
ADME stands for Absorption, Distribution, Metabolism, Excretion
ADME: organ responsible for M Liver is primary organ for metabolism
ADME: organ responsible for E Kidney is primary organ responsible for excretion
Actions to ensure med safety 5 rights, 3 checks
5 rights Right: patient, drug, dose, route, time, (+
documentation)
Actions to ensure med safety at Patient education to ensure they understand how to
discharge take their medication, adverse effects to look for,
possible drug-drug or drug-food interactions, and
any other information specific to their drug
Loading dose Usually a higher dose of the med given one time
(usually 1-2x as high). This is done to quickly increase
blood levels in order to quickly achieve therapeutic
levels
Maintenance dose Tends to be the daily dose that a patient will take as
long as they are on the drug. This keeps the plasma
levels constant.
Sympathetic nervous system controls Fight or flight
,Stimulating SNS will have impacts of Pupils dilate, lungs bronchodilate, heart rate
increases, blood vessels constrict (which increases
BP), GI smooth muscles relax, bladder muscles relax,
uterine muscles relax
Parasympathetic nervous system Rest and digest
controls
Stimulating PNS will have the impact Pupils constrict, lungs bronchoconstrict and increase
of secretions, heart rate decreases, blood vessels dilate
(which decreases BP), GI increases peristalsis,
bladder muscles constrict, salivary glands increase
secretions
SNS neurotransmitter types Norepinephrine (NE) and epinephrine (adrenaline)
SNS receptor types Alpha and beta
PNS neurotransmitter types Acetylcholine (ACh)
PNS receptor types Nicotinic and muscarinic
Drugs that mimic the SNS Sympathomimetic, adrenergic agonist, adrenergic
Drugs that block the SNS Sympatholytics, adrenergic blockers
Drugs that mimic the PNS Parasympathomimetics, cholinergics
Drugs that block the PNS Parasympatholytics, anticholenergics
Which drugs are for the ANS Atropine, bethanechol, phenylephrine, prazosin
Atropine trade name Atro-Pen, Atrovent
Atropine thera class Anti-arrhythmic, bronchodilator
Atropine pharm class Anticholinergic (antimuscarinic)
, Atropine action Inhibits the effects of the PNS, which causes an
increases in HR, bronchodilation, decreased GI and
resp secretions.
Atropine uses Used pre-op to decrease resp and GI secretions,
used for asthma/COPD (causes bronchodilation),
used for treatment of bradycardia
Atropine nursing considerations Avoid in acute hemorrhage, tachycardia, and angle,
closure glaucoma. Monitor for tachycardia and
palpitations. Geri consideration: may cause urinary
retention. May cause constipation due to slowed GI
motility
Atropine side effects result from Too much inhibition of ACh
Atropine side effects are Dryness of mouth, blurred vision, dry eyes,
photophobia, confusion, headache, dizziness,
fatigue, tachycardia, palpitations, flushing, urinary
hesitance or retention, constipation, abdominal pain,
abdominal distention, nausea, vomiting, loss of libido,
impotency
Bethanechol trade name Urecholine
Bethanechol thera class Treatment of urinary retention
Bethanechol pharm class Cholinergic, direct acting parasympathomimetic
Bethanechol action Directly stimulates the muscarinic receptors,
increasing the tone of the detrusor urinae muscle
(smooth muscle) of the bladder, giving a contraction
adequately effective to initiate peeing and emptying
of the bladder
Bethanechol uses Post-op (non obstructive) urinary retention,
neurogenic bladder (spinal cord injury or shock)
