NUR 210 Galen Pharmacology
Exam 2 Questions and Verified
Answers Galen College Of Nursing-
Louisville
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,Adrenergic Agonist - Answer: epinephrine: activates the SNS by increasing BP (alpha1), HR (beta1) and
promotes bronchioldilation (beta2)
SNS response from adrenergic agonists - Answer: agents that activate adrenergic receptors in the
sympathetic nervous system causing
o Dilates pupils, increases intraocular pressure
o Dilates bronchioles
o Increases heart rate and strength of contractions
o Constricts blood vessels and increases BP
o Reduces GI secretions and motility
o Relaxes bladder and decreases urination
o Decreases contractions and relaxes the uterus
o Increases glycosis (glucose release) and blood glucose
Indications for epinephrine - Answer: o Asthma and bronchospasm
o Allergic reaction, anaphylaxis
o Severe hypotension, cardiac arrest
o Nasal congestion
Side effects-epinephrine - Answer: Anorexia, nausea, restlessness, insomnia, hyperglycemia,
headaches, sweating, dizziness, agitation and anxiety
adverse reactions-epinephrine - Answer: Palpitations, tachycardia, ventricular fibrillation, dyspnea,
hyperglycemia, hypertension, necrosis at IV site
Contraindications-epinephrine - Answer: pregnant women, cardiac disease, diabetes, older adults.
Closed angle glaucoma
Nursing interventions-epinephrine - Answer: -Monitor vital signs at baseline and after administration. -
Monitor Blood glucose levels
-monitor EKG
-ensure Pt knows how to use pen and demonstrates, check contents of pen, no pink or brown
-Pt should not be using epipen frequently
-use at first sign of s/s of allergic reaction
-have pen with them all the time, not to store in extreme cold of hot temps
-go to ER after having to use it
-hold pen in skin for 5-10 seconds after auto injector goes off
-massage injection site
Interactions of epinephrine - Answer: o MAOIs
o Tricyclic antidepressants
o Beta blockers
o Digoxin
o Lab- increased blood sugar
, Beta 2 adrenergic Agonist - Answer: Albuterol -which relaxes smooth muscles which promotes
bronchodilation
indications for Albuterol - Answer: o Bronchospasms
o Asthma
o Bronchitis
o COPD
side effects of albuterol - Answer: o Tremors
o Nervousness
o Restlessness
o Insomnia
o GI upset
o Sweating
-agitation
-anxiety
-drowsiness
adverse reactions of albuterol - Answer: o HTN
o Tachycardia
o Palpitations
o Hyperglycemia
-cardiac dyrhthymias
Contraindications of albuterol - Answer: Monitor allergies for milk protein hypersensitivity,
contraindicated with cardiac disease, hypertension, diabetes, older adult, seizure disorders, renal
dysfunction
nursing interventions albuterol - Answer: -can raise BCG
-dont give with other SNS agonists
-get baseline BCG, Bp and HR
-resp. assessment-no more wheezing? RR decreasing?
-pt knows how to use MDI
-urine output can be decreased
-avoid cold medicine at same time
-Nasal sprays-only use for short time
Adrenergic antagonists class - Answer: o Block Alpha 1 and beta 1 receptor sites
o Prazosin blocks apha 1
-All these drugs in this class end in "sin"
- Work mainly on blood vessels
o Atenolol blocks beta 1
-Drugs in this class end in "olol"
- Work on heart and vessels
Exam 2 Questions and Verified
Answers Galen College Of Nursing-
Louisville
Premium Online Exam & Class Management Services
Professional • Confidential • Reliable • Results-Oriented
WHY STUDENTS CHOOSE US
Professional management of online classes
Support for proctored examinations
Assignment and coursework coordination
Quiz, test and assessment assistance
Fast communication and timely updates
Strict confidentiality and privacy
SERVICES OFFERED
✓ Online Class Management
✓ Proctored Exam Handling
✓ Weekly Discussion Participation
✓ Coursework Tracking
✓ Academic Scheduling Support
✓ Exam Preparation Guidance
,Adrenergic Agonist - Answer: epinephrine: activates the SNS by increasing BP (alpha1), HR (beta1) and
promotes bronchioldilation (beta2)
SNS response from adrenergic agonists - Answer: agents that activate adrenergic receptors in the
sympathetic nervous system causing
o Dilates pupils, increases intraocular pressure
o Dilates bronchioles
o Increases heart rate and strength of contractions
o Constricts blood vessels and increases BP
o Reduces GI secretions and motility
o Relaxes bladder and decreases urination
o Decreases contractions and relaxes the uterus
o Increases glycosis (glucose release) and blood glucose
Indications for epinephrine - Answer: o Asthma and bronchospasm
o Allergic reaction, anaphylaxis
o Severe hypotension, cardiac arrest
o Nasal congestion
Side effects-epinephrine - Answer: Anorexia, nausea, restlessness, insomnia, hyperglycemia,
headaches, sweating, dizziness, agitation and anxiety
adverse reactions-epinephrine - Answer: Palpitations, tachycardia, ventricular fibrillation, dyspnea,
hyperglycemia, hypertension, necrosis at IV site
Contraindications-epinephrine - Answer: pregnant women, cardiac disease, diabetes, older adults.
Closed angle glaucoma
Nursing interventions-epinephrine - Answer: -Monitor vital signs at baseline and after administration. -
Monitor Blood glucose levels
-monitor EKG
-ensure Pt knows how to use pen and demonstrates, check contents of pen, no pink or brown
-Pt should not be using epipen frequently
-use at first sign of s/s of allergic reaction
-have pen with them all the time, not to store in extreme cold of hot temps
-go to ER after having to use it
-hold pen in skin for 5-10 seconds after auto injector goes off
-massage injection site
Interactions of epinephrine - Answer: o MAOIs
o Tricyclic antidepressants
o Beta blockers
o Digoxin
o Lab- increased blood sugar
, Beta 2 adrenergic Agonist - Answer: Albuterol -which relaxes smooth muscles which promotes
bronchodilation
indications for Albuterol - Answer: o Bronchospasms
o Asthma
o Bronchitis
o COPD
side effects of albuterol - Answer: o Tremors
o Nervousness
o Restlessness
o Insomnia
o GI upset
o Sweating
-agitation
-anxiety
-drowsiness
adverse reactions of albuterol - Answer: o HTN
o Tachycardia
o Palpitations
o Hyperglycemia
-cardiac dyrhthymias
Contraindications of albuterol - Answer: Monitor allergies for milk protein hypersensitivity,
contraindicated with cardiac disease, hypertension, diabetes, older adult, seizure disorders, renal
dysfunction
nursing interventions albuterol - Answer: -can raise BCG
-dont give with other SNS agonists
-get baseline BCG, Bp and HR
-resp. assessment-no more wheezing? RR decreasing?
-pt knows how to use MDI
-urine output can be decreased
-avoid cold medicine at same time
-Nasal sprays-only use for short time
Adrenergic antagonists class - Answer: o Block Alpha 1 and beta 1 receptor sites
o Prazosin blocks apha 1
-All these drugs in this class end in "sin"
- Work mainly on blood vessels
o Atenolol blocks beta 1
-Drugs in this class end in "olol"
- Work on heart and vessels
