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NSG 318 Exam 2 QUESTIONS AND VERIFIED CORRECT ANSWERS LATEST GRADED A+.

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NSG 318 Exam 2 QUESTIONS AND VERIFIED CORRECT ANSWERS LATEST GRADED A+.NSG 318 Exam 2 QUESTIONS AND VERIFIED CORRECT ANSWERS LATEST GRADED A+.docx

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NSG-318 Exam LATEST
QUESTIONS AND VERIFIED
CORRECT ANSWERS 100%
GUARANTEED PASS


sympathomimetic - CORRECT ANSWER-agent that mimics the effects of the sympathetic
nervous system



Parasympatholytic - CORRECT ANSWER-agent blocking or inhibiting the effects of the
parasympathetic nervous system



alpha 1 receptors - CORRECT ANSWER--inc cardiac contractility; vasoconstriction (inc BP)

-dilates pupils, dec salivary gland secretion

-inc bladder and prostate cx



alpha 2 receptors - CORRECT ANSWER--inhibits NE release (promotes vasodilation and dec BP)

-dec GI motility and tone



beta 1 receptors - CORRECT ANSWER--inc cardiac contractility, HR

-inc renin secretion and BP



beta 2 receptors - CORRECT ANSWER--dec GI tone and motility

-bronchodilation

-inc blood flow in skeletal muscles

,-relaxes smooth muscles of uterus

-activates liver glycogenolysis (inc blood glucose)



Direct acting adrenergic agonists - CORRECT ANSWER-directly activates adrenergic receptor
(epinephrine, norepinephrine, dopamine)



indirect acting adrenergic agonists - CORRECT ANSWER-stimulates release of NE from terminal
nerve endings (amphetamine)



mixed acting adrenergic agonists - CORRECT ANSWER-stimulates adrenergic receptor sites and
stimulates release of NE from terminal nerve endings (ephedrine)



adrenergic agonists - CORRECT ANSWER-Catecholamines: produce sympathetic response

- endogenous (epinephrine, NE, dopamine)

-synthetic (isoproterenol, dobutamine)

Noncatecholamines: stimulate adrenergic receptors. most have longer duration of action than
endogenous and synthetic (phenylephrine, metaproterneol, albuterol)



Epinephrine - CORRECT ANSWER--CLASSIFICATION: adrenergic agonist



-USES: anaphylaxis, bronchospasms, status asthmaticus, cardiac arrest



-ACTION: Alpha1 inc BP, Beta1 inc HR, Beta2 promotes bronchodilation



-CONTRAINDICATIONS: cardiac dysrhythmias, hypertension, hyperthyroidism, DM, pregnancy



-SIDE/ADVERSE EFFECTS: cardiac (palpitation, tachycardia, hypertension), restlessness,
hyperglycemia, dyspnea, tissue necrosis at IV site, vfib, PE

,-INTERACTIONS: beta blockers, digoxin, TCA and MAOIs



-INTERVENTIONS: monitor IV site, monitor vitals and EKG, monitor I&Os and assess for bladder
distention, avoid nausea and vomiting for pt, monitor blood glucose in pt with DM



adrenergic antagonists - CORRECT ANSWER-block effects of adrenergic neurotransmitter (block
alpha and beta receptor sites)

-alpha-adrenergic agonists and beta adrenergic agonists



alpha1 blockers - CORRECT ANSWER--vasodilation/dizziness

-orthostatic hypotension, reflex tachycardia

-pupil constrict

-suppress ejaculation

-dec cx of smooth muscles in bladder, neck, and prostate



beta1 blockers - CORRECT ANSWER--dec cardiac contractility

-dec pulse



beta2 blockers - CORRECT ANSWER--bronchoconstriction

-cx uterus

-inhibits glycogenolysis (leads to hypoglycemia)



alpha adrenergic antagonists - CORRECT ANSWER-drugs that inhibit a response at alpha-
adrenergic receptor site

-selective (block alpha1)

-nonselective (block alpha1 and alpha2)

, -action (promote vasodilation)

-use (dec symptoms of BPH)



albuterol - CORRECT ANSWER--CLASSIFICATION: beta2 adrenergic agonist



-USE: tx of asthma, prophylactic tx for asthma, tx of bronchospasms



-ACTION: stimulates beta2 adrenergic receptors in lungs (relaxes bronchial smooth muscle)
bronchodilation



Beta-adrenergic agonists - CORRECT ANSWER--dec BP and pulse

-nonselective beta blockers

blocks beta1: dec BP and pulse

blocks beta2: bronchoconstriction, use with caution w pt with COPD or asthma



atenolol - CORRECT ANSWER--CLASS: beta adrenergic agonist



-USE: tx of hypertension, angina, and prophylaxis and tx of acute MI



-ACTION: selectively blocks beta1-adrenergic receptor sites, dec sympathetic outflow to the
periphery, suppresses RAAS



cholinergic agonists - CORRECT ANSWER-drugs that stimulate PNS

-cholinergic receptors: muscarinic (smooth muscles, slow HR), nicotinic (skeletal muscles)

-direct acting (activate)

-indirect acting (inhibits)

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