Exam 2 Review for Pharm

how to administer an epi-pen - subcutaneously to the thigh for 5-10 seconds epinephrine side effects - hyperglycemia and increased HR epinephrine adverse reactions - palpitations, tachycardia, and hypertension beta-adrenergic blockers adverse reactions - bronchospasms and hypotension beta-adrenergic blockers cautions/contraindications - asthma, COPD, and bradycardia bethanechol expected response - increased secretions, urine output, and peristalsis bethanechol contraindications - GI obstructions bethanechol patient education - get up slowly and take on empty stomach pilocarpine expected response - decreased intraocular pressure and miosis pilocarpine patient education - how to administer eye drops and don't drive because of lowered acuity how to administer eye drops - pull back lower lid and insert via lower conjunctival sac, applying gentle pressure to nasolacrimal duct for 60 seconds atropine indications - increased HR, decreased salivation, decreased respiratory, and decreased GI secretions pre-surgery atropine therapeutic response - increased HR and dry mouth pre-surgery atropine patient complications - mydriasis, tachycardia, constipation, dry mouth, fever, and agitation tolterodine effectiveness assessment - decreased bladder irritability and fewer trips to the bathroom tolterodine contraindications - glaucoma, tachycardia, and steven's johnson syndrome benztropine contraindications - glaucoma, tardive dyskinesia, and myasthenia gravis benztropine expected response - decreased involuntary movement, tremors, and muscle rigidity carbidopa-levodopa mechanism of action - prevention of peripheral destruction of the dopamine convertor in CNS, serving as a neurotransmitter carbidopa-levodopa patient education - take on empty stomach and have a low protein diet carbidopa-levodopa therapeutic response - decreased muscle rigidity, involuntary movements, and improved bradykinesia tolcapone indication - adjunct treatment for parkinson's and not given as a standalone medication tolcapone intended action - increase dopamine pyridostigmine patient education - fall precautions (remove loose rugs, use night lights) and take on empty stomach pyridostigmine indication - myasthenia gravis pyridostigmine therapeutic response - improved muscle strength rivastigmine effectiveness assessment - increased cognitive function and slowed disease process rivastigmine patient education - no tobacco use cyclobenzaprine duration of treatment - time limited (3 weeks or less) cyclobenzaprine patient education - don't drive, consume alcohol, or other CNS depressants digoxin administration considerations - check apical pulse (hold if HR <60 or >100 BPM) and monitor K levels