NUR 521 CORE STUDY ANSWERS AND QUESTIONS
SET A+
✔✔What are 2 types of Cholinergic drugs? - ✔✔Cholinesterase inhibitors - donepezil,
prydostigmine
Muscarinic (Cholinergic) agonist - Bethanechol
✔✔What is a contraindicated use of bethanechol? - ✔✔hyperthyroidism
causes irregular cardiac rhythms
✔✔What is muscarinic (cholinergic) toxicity - ✔✔too much cholinergic or
parasympathetic responses
✔✔What are s/s of muscarinic toxicity - ✔✔D - diaphoresis/diarrhea
U - urination
M - myosis
B - bradycardia
E - Emesis
L - Lacrimation
S - salivation
✔✔What drug do we use to treat Myasthenia Gravis? - ✔✔Prydostigmine (mestinon)
✔✔Why do we avoid muscarinic antagonists in older adults? - ✔✔due to co morbidities
and increased adverse effects
✔✔What are s/s of muscarinic antagonist toxicity? - ✔✔think fight or flight
dry mouth, blurry vision, hyperthermia, dry/flush skin
✔✔What drug would you administer to a patient with muscarinic antagonist toxicity? -
✔✔Physostigmine
✔✔What are adrenergic agonist drugs used for? - ✔✔nasal congestion, shock,
anaphylaxis
, ✔✔How do adrenergic agonists work? - ✔✔activating adrenergic receptors for a
sympathetic response
✔✔How do you teach your patient about using an EPI Pen? - ✔✔0.3 and 0.5mg dosing
repeat every 5-15 minutes up to 2 times
keep on you at all times
refill immediately
✔✔What are adrenergic antagonist drugs used for? How do they work? - ✔✔block
activation of adrenergic receptors to create a parasympathetic response
✔✔What important patient education should be taught when starting Prazosin
(Minipress), an adrenergic antagonist? - ✔✔s/s of orthostatic hypotension
✔✔What are centrally acting alpha 2 agonist drugs used for? - ✔✔selectively work on
A2 to create a decreased sympathetic response
i.e clonidine - decrease HR and BP
✔✔What should you teach your patient who is taking Sinemet for Parkinsons? - ✔✔Diet
low in protein
Protein can cause the medication to work less effectively
✔✔What would you prescribe in addition to Sinemet if the patient is experiencing acute
loss of effect of drug? - ✔✔Entacapone - increases effectiveness
✔✔What drug can you prescribe for restless leg? - ✔✔Ropinerole (requip)
✔✔What drug can you not prescribe with Cyclobenzaprine? - ✔✔SSRIs due to
increased risk of serotonin syndrome
✔✔What is a contraindication for Dantrolene? - ✔✔CI - liver disease/impairment
BBW - hepatotoxicity
✔✔What is the BBW for Baclofen? - ✔✔Rhabdomylisis
✔✔What are contraindications of amide type local anesthetics - ✔✔Do not combine with
epinephrine due to risk of ischemia
✔✔What are adverse effects of morphine? - ✔✔respiratory depression, sedation,
nausea, and vomiting, constipation
Class 2 drug
✔✔What is used to treat opioid overdose? - ✔✔Narcan (naloxone)
SET A+
✔✔What are 2 types of Cholinergic drugs? - ✔✔Cholinesterase inhibitors - donepezil,
prydostigmine
Muscarinic (Cholinergic) agonist - Bethanechol
✔✔What is a contraindicated use of bethanechol? - ✔✔hyperthyroidism
causes irregular cardiac rhythms
✔✔What is muscarinic (cholinergic) toxicity - ✔✔too much cholinergic or
parasympathetic responses
✔✔What are s/s of muscarinic toxicity - ✔✔D - diaphoresis/diarrhea
U - urination
M - myosis
B - bradycardia
E - Emesis
L - Lacrimation
S - salivation
✔✔What drug do we use to treat Myasthenia Gravis? - ✔✔Prydostigmine (mestinon)
✔✔Why do we avoid muscarinic antagonists in older adults? - ✔✔due to co morbidities
and increased adverse effects
✔✔What are s/s of muscarinic antagonist toxicity? - ✔✔think fight or flight
dry mouth, blurry vision, hyperthermia, dry/flush skin
✔✔What drug would you administer to a patient with muscarinic antagonist toxicity? -
✔✔Physostigmine
✔✔What are adrenergic agonist drugs used for? - ✔✔nasal congestion, shock,
anaphylaxis
, ✔✔How do adrenergic agonists work? - ✔✔activating adrenergic receptors for a
sympathetic response
✔✔How do you teach your patient about using an EPI Pen? - ✔✔0.3 and 0.5mg dosing
repeat every 5-15 minutes up to 2 times
keep on you at all times
refill immediately
✔✔What are adrenergic antagonist drugs used for? How do they work? - ✔✔block
activation of adrenergic receptors to create a parasympathetic response
✔✔What important patient education should be taught when starting Prazosin
(Minipress), an adrenergic antagonist? - ✔✔s/s of orthostatic hypotension
✔✔What are centrally acting alpha 2 agonist drugs used for? - ✔✔selectively work on
A2 to create a decreased sympathetic response
i.e clonidine - decrease HR and BP
✔✔What should you teach your patient who is taking Sinemet for Parkinsons? - ✔✔Diet
low in protein
Protein can cause the medication to work less effectively
✔✔What would you prescribe in addition to Sinemet if the patient is experiencing acute
loss of effect of drug? - ✔✔Entacapone - increases effectiveness
✔✔What drug can you prescribe for restless leg? - ✔✔Ropinerole (requip)
✔✔What drug can you not prescribe with Cyclobenzaprine? - ✔✔SSRIs due to
increased risk of serotonin syndrome
✔✔What is a contraindication for Dantrolene? - ✔✔CI - liver disease/impairment
BBW - hepatotoxicity
✔✔What is the BBW for Baclofen? - ✔✔Rhabdomylisis
✔✔What are contraindications of amide type local anesthetics - ✔✔Do not combine with
epinephrine due to risk of ischemia
✔✔What are adverse effects of morphine? - ✔✔respiratory depression, sedation,
nausea, and vomiting, constipation
Class 2 drug
✔✔What is used to treat opioid overdose? - ✔✔Narcan (naloxone)
