lOMoAR cPSD| 6861666
NUR 210 PHARM EXAM 2
NOTES WITH COMPLETE
SOLUTIONS 100% CORRECT
| UPDATED 2025
, lOMoAR cPSD| 6861666
Pharm Exam 2 notes
Adrenergic Agonists o Adrenergic- sympathetic nervous system
o Increase HR, increase oxygen (bronchodilation), Increase blood flow, Resp rate increase, pupils dilate,
blood glucose increase
o Patient going to be very alert and awake o Mimic norepinephrine and Epinephrine o It can affect the
heart, bronchi (lungs), GI tract
Urinary bladder, eyes
Alpha 1 o Increases cardiac contractility,
vasoconstriction o Dilates pupils
o Increases bladder & prostate contraction
Beta 1 o Increases cardiac contractility, heart rate o
Increases renin secretion, blood pressure
Beta 2
o Decreases GI tone and motility
o Bronchodilation
o Increases blood flow in skeletal muscles o Relaxes smooth muscles of uterus o Activates liver
glycogenolysis – increases blood sugar
Remember beta 1 – 1 heart so it mainly affects the heart
Beta 2 – 2 lungs so it mainly affects the lungs
Alpha 1 increases the blood pressure (A- Arteries)
Epinephrine
Nonselective – stimulates alpha 1, beta 1, and beta 2
Alpha 1 increases the blood pressure
Beta 1 increases the heart rate
Beta 2 promotes bronchodilation
Increase HR, increase oxygen (bronchodilation), Increase blood flow, Resp rate increase, pupils dilate, blood
glucose increase Emergency Drug
Uses o Anaphylaxis, anaphylactic shock o
Bronchospasms, status asthmaticus o
Cardiogenic shock, cardiac arrest
Therapeutic response when Heart rate between 60-100
Side effects/Adverse reactions
o GI disturbances
o Sweating, headache, insomnia, dizziness, agitation, anxious o Hyperglycemia
o Palpitations, cardiac dysrhythmia o Tachycardia (heart rate over 100 adverse reaction) o Hypertension
(above 140/90 adverse reaction)
Contraindications
o Tachycardia
Glaucoma (due to dilation of the pupils is going to increase pressure in the eye)
o Labor (vasoconstricting of the vessels occur and will stop blood flow to the baby)
Caution o Hypertension o
Prostatic hypertrophy o
Diabetes mellitus
, lOMoAR cPSD| 6861666
o
Interactions
o MAOI’s tricyclic antidepressants – intensify and prolong effect o Beta blockers – block effect o Digoxin –
can increase risk of dysrhythmia o Lab – increases blood sugar
Assessment o Vital signs (pt will be placed on a
monitor)
o Medication/medical history (what if they were on morphine and overdose on it then we can just give
naloxone and we can use epinephrine)
o Current symptoms o Baseline glucose level
Nursing interventions o Monitor blood pressure, heart rate
and urine output
o Monitor IV site for infiltration. Give IV push slowly (1 mg/minute) unless in cardiac arrest we will give it
faster
o Patient on cardiac monitor when giving IV
o Monitor for side effects/adverse reactions – report hypertension, irregular heart rate, tachycardia
o Monitor blood glucose in diabetic patients with long term use (albuterol)
Teaching o The side effects/adverse reactions to report
(palpitations)
o Avoid drugs that increase the blood pressure such as cold medication and diet pills o Avoid adrenergic
when breastfeeding o Nasal sprays should only be used 3-5 days o Take medication as prescribed o
How to use inhaled drugs or drops – return demonstration
Epi-Pen Teaching o If pt uses it they
need to call 911
o Inform provider if EpiPen is used more than twice a week o Have EpiPen with you at all times
o Do not refrigerate EpiPen but store in cool, dark place o Use EpiPen at first sign of reaction o Inspect the
contents for particles and do not use if particles are pink or brown o Inject subcutaneously in the outer
thigh and hold in place for 5-10 seconds o After administration massage the injection site o Report side
effects/adverse reactions
Adrenergic blockers
Action o Block the alpha1 receptor sites (A-
Arteries)
o Results in vasodilation, decreased blood pressure, pupil constriction, reduces contraction of the smooth
muscle in the bladder neck and prostate
o THEY DO NOTHING TO THE HEART RATE
Use o Antihypertensive
o Benign prostatic hypertrophy (BPH) o Reynaud’s disease
All drugs in this class end in ‘sin’- these drugs work mainly on the vessels
Beta Blockers -LOL
Action
Beta 1 Blocker o Blocks beta adrenergic receptor sites o
Decreases movement of epinephrine o Suppresses renin-
NUR 210 PHARM EXAM 2
NOTES WITH COMPLETE
SOLUTIONS 100% CORRECT
| UPDATED 2025
, lOMoAR cPSD| 6861666
Pharm Exam 2 notes
Adrenergic Agonists o Adrenergic- sympathetic nervous system
o Increase HR, increase oxygen (bronchodilation), Increase blood flow, Resp rate increase, pupils dilate,
blood glucose increase
o Patient going to be very alert and awake o Mimic norepinephrine and Epinephrine o It can affect the
heart, bronchi (lungs), GI tract
Urinary bladder, eyes
Alpha 1 o Increases cardiac contractility,
vasoconstriction o Dilates pupils
o Increases bladder & prostate contraction
Beta 1 o Increases cardiac contractility, heart rate o
Increases renin secretion, blood pressure
Beta 2
o Decreases GI tone and motility
o Bronchodilation
o Increases blood flow in skeletal muscles o Relaxes smooth muscles of uterus o Activates liver
glycogenolysis – increases blood sugar
Remember beta 1 – 1 heart so it mainly affects the heart
Beta 2 – 2 lungs so it mainly affects the lungs
Alpha 1 increases the blood pressure (A- Arteries)
Epinephrine
Nonselective – stimulates alpha 1, beta 1, and beta 2
Alpha 1 increases the blood pressure
Beta 1 increases the heart rate
Beta 2 promotes bronchodilation
Increase HR, increase oxygen (bronchodilation), Increase blood flow, Resp rate increase, pupils dilate, blood
glucose increase Emergency Drug
Uses o Anaphylaxis, anaphylactic shock o
Bronchospasms, status asthmaticus o
Cardiogenic shock, cardiac arrest
Therapeutic response when Heart rate between 60-100
Side effects/Adverse reactions
o GI disturbances
o Sweating, headache, insomnia, dizziness, agitation, anxious o Hyperglycemia
o Palpitations, cardiac dysrhythmia o Tachycardia (heart rate over 100 adverse reaction) o Hypertension
(above 140/90 adverse reaction)
Contraindications
o Tachycardia
Glaucoma (due to dilation of the pupils is going to increase pressure in the eye)
o Labor (vasoconstricting of the vessels occur and will stop blood flow to the baby)
Caution o Hypertension o
Prostatic hypertrophy o
Diabetes mellitus
, lOMoAR cPSD| 6861666
o
Interactions
o MAOI’s tricyclic antidepressants – intensify and prolong effect o Beta blockers – block effect o Digoxin –
can increase risk of dysrhythmia o Lab – increases blood sugar
Assessment o Vital signs (pt will be placed on a
monitor)
o Medication/medical history (what if they were on morphine and overdose on it then we can just give
naloxone and we can use epinephrine)
o Current symptoms o Baseline glucose level
Nursing interventions o Monitor blood pressure, heart rate
and urine output
o Monitor IV site for infiltration. Give IV push slowly (1 mg/minute) unless in cardiac arrest we will give it
faster
o Patient on cardiac monitor when giving IV
o Monitor for side effects/adverse reactions – report hypertension, irregular heart rate, tachycardia
o Monitor blood glucose in diabetic patients with long term use (albuterol)
Teaching o The side effects/adverse reactions to report
(palpitations)
o Avoid drugs that increase the blood pressure such as cold medication and diet pills o Avoid adrenergic
when breastfeeding o Nasal sprays should only be used 3-5 days o Take medication as prescribed o
How to use inhaled drugs or drops – return demonstration
Epi-Pen Teaching o If pt uses it they
need to call 911
o Inform provider if EpiPen is used more than twice a week o Have EpiPen with you at all times
o Do not refrigerate EpiPen but store in cool, dark place o Use EpiPen at first sign of reaction o Inspect the
contents for particles and do not use if particles are pink or brown o Inject subcutaneously in the outer
thigh and hold in place for 5-10 seconds o After administration massage the injection site o Report side
effects/adverse reactions
Adrenergic blockers
Action o Block the alpha1 receptor sites (A-
Arteries)
o Results in vasodilation, decreased blood pressure, pupil constriction, reduces contraction of the smooth
muscle in the bladder neck and prostate
o THEY DO NOTHING TO THE HEART RATE
Use o Antihypertensive
o Benign prostatic hypertrophy (BPH) o Reynaud’s disease
All drugs in this class end in ‘sin’- these drugs work mainly on the vessels
Beta Blockers -LOL
Action
Beta 1 Blocker o Blocks beta adrenergic receptor sites o
Decreases movement of epinephrine o Suppresses renin-
