3365 UTA Pharm Exam 2 With Correct Answers

Epinephrine is used for ___ ___ and ___ ___ - ANSWER cardiac arrest, allergic reaction Adrenergic Stimulating drugs - ANSWER epinephrine What system is epinephrine stimulating? - ANSWER SNS What are the adverse effects of epinephrine? - ANSWER tremors, agitation, tachycardia, urinary retention, hypertension, decreased renal perfusion When determining the difference between urinary retention and decreased urinary perfusion, what should you do? - ANSWER palpate the bladder Before administering epinephrine, the nurse should assess the ___ and the ___ since the drug causes vasoconstriction. - ANSWER BP, HR When giving epinephrine for allergic reaction, how do you evaluate if it worked? - ANSWER wheezing stopped, BP comes up If infiltration has occurred during IV epinephrine administration, you will notice ___ and ___ to the touch around the site. - ANSWER swelling, coolness What is the drug given for epinephrine infiltration? - ANSWER phentolamine Adrenergic Blocking drugs - ANSWER Alpha-Blockers Beta-blockers Phentolamine will prevent ___ due to ___ if epinephrine is infiltrated. - ANSWER necrosis, ischemia If administering epinephrine for cardiac arrest, you should always flush with ___ mL of ___ to make sure the drug gets into the bloodstream. - ANSWER 20, saline___ and ___ are the two alpha blockers used for hypertension - ANSWER doxazosin, prazosin ___ is the alpha blocker used for BPH - ANSWER tamsulosin The first dose phenomenon with alpha blockers causes massive ___ and a severe drop in ___ - ANSWER vasodilation, BP You normally administer alpha blockers in the ___ because the patient is ___ likely to get up. - ANSWER night, less When evaluating the effectiveness of tamsulosin, you will know it is working because the patient will be able to ___, have ___ urgency, and ___ frequency. - ANSWER empty their bladder What do you teach your patient about standing on alpha blockers? - ANSWER rise slowly, in stages The last name of all the beta blockers is ___ - ANSWER olol When you are blocking beta 1, the HR will ___ ___ - ANSWER slow down Centrally-acting Adrenergic Drugs - ANSWER clonidine Beta 1 selective blockers can be used in ___ and ___ patients because they don't affect the ___ - ANSWER COPD, asthma, lungs Non-selective beta blockers block both beta 1 and beta 2 and cause ___ and possibly ___ distress - ANSWER bronchoconstriction, respiratory What type of patient should not receive a non-selective beta blocker? - ANSWER COPD, asthma ___ only mildly affects the lungs, so a COPD/asthma patient could take it, but you have to make sure that you monitor closely - ANSWER carvedilol Do not administer a beta blocker if the HR is less than ___ - ANSWER 60What assessments would you do prior to administering a beta blocker? - ANSWE