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Nurs 5334 Exam 2 Questions And Answers With Verified Solutions 100% Correct Latest Update.

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Nurs 5334 Exam 2 Questions And Answers With Verified Solutions 100% Correct Latest Update.

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Nurs 5334 Exam 2 Questions And
Answers With Verified Solutions 100%
Correct Latest Update.
What are the neurotransmitters of the PNS - ANSWER
Acetylcholine (mediates cholinergic receptors)

Norepinephrine/epinephrine (mediate adrenergic receptors)

Cholinergic receptor subtypes - ANSWER nicotinic and
muscarinic

Adrenergic receptor subtypes - ANSWER alpha 1, alpha 2, beta 1,
beta 2

Alpha 1 receptor functions - ANSWER vasoconstriction

ejaculation

contraction of bladder neck & prostate

Alpha 2 receptor function - ANSWER little clinical significance

Beta 1 receptor functions - ANSWER Heart (increase rate and
force of contraction)

Kidney (renin release)

Conduction of the AV node

Beta 2 receptor functions - ANSWER Bronchial dilation

relaxation of uterine muscle

vasodilation

glycogenolysis

Dopamine function - ANSWER dilates renal blood vessels

Without subtypes - ANSWER a drug that acts on one site will
alter all sites

Cholinergic drugs function to - ANSWER Turn on PNS

Muscarinic Agonists function - ANSWER mimic the effects of
acetylcholine at muscarinic receptors

,Bethanechol function - ANSWER constricts bronchi, increase GI
tone and motility, contraction of detrusor muscle and relaxes trigone and
sphincter

Bethanechol used for - ANSWER urinary retention

bethanechol adverse effects - ANSWER hypotension, abd
cramps/diarrhea, increased salivation, asthma exacerbation

Cevimeline - ANSWER treats dry mouth in Sjogren Syndrome

Pilocarpine - ANSWER topical therapy for glaucoma

Acetylcholine - ANSWER Used for mitosis (pupil constriction)
after cataract surgery

Muscarinic poisoning treated with - ANSWER atropine

Drugs that turn off PNS - ANSWER Muscarinic antagonists
(parasympatholytic drugs, antimuscarinic drugs, muscarinic blockers,
anticholinergic drugs)

Muscarinic antagonists function - ANSWER selectively block the
effects acetylcholine at muscarinic receptors

Muscarinic antagonists are also known as - ANSWER
parasympatholytic drugs, antimuscarinic drugs, muscarinic blockers or
anticholinergic drugs

Atropine function - ANSWER Increases HR

Decrease secretions

relax bronchi

decrease tone of detrusor

decrease tone & motility of GI

mydriasis (pupil dilation)

Atropine uses - ANSWER preanesthetic

eye disorders

bradycardia

intestinal hypermotility

asthma

muscarinic agonist poisoning

Atropine side effects - ANSWER dry mouth

, blurred vision

increase IOP

urinary retention

constipation

tachycardia

asthma

Atropine can me used to treat _______ but can also worse _______ by
thickening and drying bronchial secretions causing plugging -
ANSWER Asthma

Anticholinergic drugs for overactive bladder - ANSWER
oxybutynin (Ditropan)

Darifenacin

Solifenacin

Tolterodine

Fesorterodine

Trospium

Oxybutynin (Ditropan) - ANSWER anticholinergic side effects

Darifenacin - ANSWER greatest M3 selectivity

can reduce OAB symptoms while having no effects of M1 receptors in brain
or M2 receptors in the heart

Darifenacin can cause - ANSWER dry mouth and constipation

Solifenacin - ANSWER similar to darifenacin but can cause
prolonged QT at high doses

Tolterodine - ANSWER nonselevtive

fewer anticholinergic effects

prolongs QT

Fesoterodine & Trospium - ANSWER nonselective

Scopolamine - ANSWER Muscarinic Antagonist

used for motion sickness

Ipratropium bromide - ANSWER used to treat asthma, COPD and
rhinits
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