Galen Pharmacology exam 2 Q&a with complete solutions...
Galen Pharmacology exam 2
Study online at https://quizlet.com/_8kecdx
1. Adrenergic Ago- epinephrine: activates the SNS by increasing BP (alpha1), HR (beta1) and pro-
nist motes bronchioldilation (beta2)
2. SNS response agents that activate adrenergic receptors in the sympathetic nervous system
from adrenergic causing
agonists o Dilates pupils, increases intraocular pressure
o Dilates bronchioles
o Increases heart rate and strength of contractions
o Constricts blood vessels and increases BP
o Reduces GI secretions and motility
o Relaxes bladder and decreases urination
o Decreases contractions and relaxes the uterus
o Increases glycosis (glucose release) and blood glucose
3. Indications for o Asthma and bronchospasm
epinephrine o Allergic reaction, anaphylaxis
o Severe hypotension, cardiac arrest
o Nasal congestion
4. Side effects-epi- Anorexia, nausea, restlessness, insomnia, hyperglycemia, headaches, sweating,
nephrine dizziness, agitation and anxiety
5. adverse Palpitations, tachycardia, ventricular fibrillation, dyspnea, hyperglycemia, hyper-
reactions-epi- tension, necrosis at IV site
nephrine
6. Contraindica- pregnant women, cardiac disease, diabetes, older adults. Closed angle glaucoma
tions-epineph-
rine
7. Nursing -Monitor vital signs at baseline and after administration. -Monitor Blood glucose
interventions-ep- levels
inephrine -monitor EKG
Page 1
, Galen Pharmacology exam 2 Q&a with complete solutions...
Galen Pharmacology exam 2
Study online at https://quizlet.com/_8kecdx
-ensure Pt knows how to use pen and demonstrates, check contents of pen, no
pink or brown
-Pt should not be using epipen frequently
-use at first sign of s/s of allergic reaction
-have pen with them all the time, not to store in extreme cold of hot temps
-go to ER after having to use it
-hold pen in skin for 5-10 seconds after auto injector goes off
-massage injection site
8. Interactions of o MAOIs
epinephrine o Tricyclic antidepressants
o Beta blockers
o Digoxin
o Lab- increased blood sugar
9. Beta 2 adrener- Albuterol -which relaxes smooth muscles which promotes bronchodilation
gic Agonist
10. indications for Al- o Bronchospasms
buterol o Asthma
o Bronchitis
o COPD
11. side effects of al- o Tremors
buterol o Nervousness
o Restlessness
o Insomnia
o GI upset
o Sweating
-agitation
-anxiety
-drowsiness
Page 2
, Galen Pharmacology exam 2 Q&a with complete solutions...
Galen Pharmacology exam 2
Study online at https://quizlet.com/_8kecdx
12. adverse reac- o HTN
tions of albuterol o Tachycardia
o Palpitations
o Hyperglycemia
-cardiac dyrhthymias
13. Contraindica- Monitor allergies for milk protein hypersensitivity, contraindicated with cardiac
tions of albuterol disease, hypertension, diabetes, older adult, seizure disorders, renal dysfunction
14. nursing interven- -can raise BCG
tions albuterol -dont give with other SNS agonists
-get baseline BCG, Bp and HR
-resp. assessment-no more wheezing? RR decreasing?
-pt knows how to use MDI
-urine output can be decreased
-avoid cold medicine at same time
-Nasal sprays-only use for short time
15. Adrenergic an- o Block Alpha 1 and beta 1 receptor sites
tagonists class o Prazosin blocks apha 1
-All these drugs in this class end in "sin"
- Work mainly on blood vessels
o Atenolol blocks beta 1
-Drugs in this class end in "olol"
- Work on heart and vessels
16. Beta blockers atenolol, metoprolol
action-Beta 1 blocker decreasing the movement of epinephrine, suppressing the
renin-angiotensin-aldosterone system.
-In turn relaxed blood vessels
17. Indications for o Antihypertensives
beta blockers o Angina
Page 3
Galen Pharmacology exam 2
Study online at https://quizlet.com/_8kecdx
1. Adrenergic Ago- epinephrine: activates the SNS by increasing BP (alpha1), HR (beta1) and pro-
nist motes bronchioldilation (beta2)
2. SNS response agents that activate adrenergic receptors in the sympathetic nervous system
from adrenergic causing
agonists o Dilates pupils, increases intraocular pressure
o Dilates bronchioles
o Increases heart rate and strength of contractions
o Constricts blood vessels and increases BP
o Reduces GI secretions and motility
o Relaxes bladder and decreases urination
o Decreases contractions and relaxes the uterus
o Increases glycosis (glucose release) and blood glucose
3. Indications for o Asthma and bronchospasm
epinephrine o Allergic reaction, anaphylaxis
o Severe hypotension, cardiac arrest
o Nasal congestion
4. Side effects-epi- Anorexia, nausea, restlessness, insomnia, hyperglycemia, headaches, sweating,
nephrine dizziness, agitation and anxiety
5. adverse Palpitations, tachycardia, ventricular fibrillation, dyspnea, hyperglycemia, hyper-
reactions-epi- tension, necrosis at IV site
nephrine
6. Contraindica- pregnant women, cardiac disease, diabetes, older adults. Closed angle glaucoma
tions-epineph-
rine
7. Nursing -Monitor vital signs at baseline and after administration. -Monitor Blood glucose
interventions-ep- levels
inephrine -monitor EKG
Page 1
, Galen Pharmacology exam 2 Q&a with complete solutions...
Galen Pharmacology exam 2
Study online at https://quizlet.com/_8kecdx
-ensure Pt knows how to use pen and demonstrates, check contents of pen, no
pink or brown
-Pt should not be using epipen frequently
-use at first sign of s/s of allergic reaction
-have pen with them all the time, not to store in extreme cold of hot temps
-go to ER after having to use it
-hold pen in skin for 5-10 seconds after auto injector goes off
-massage injection site
8. Interactions of o MAOIs
epinephrine o Tricyclic antidepressants
o Beta blockers
o Digoxin
o Lab- increased blood sugar
9. Beta 2 adrener- Albuterol -which relaxes smooth muscles which promotes bronchodilation
gic Agonist
10. indications for Al- o Bronchospasms
buterol o Asthma
o Bronchitis
o COPD
11. side effects of al- o Tremors
buterol o Nervousness
o Restlessness
o Insomnia
o GI upset
o Sweating
-agitation
-anxiety
-drowsiness
Page 2
, Galen Pharmacology exam 2 Q&a with complete solutions...
Galen Pharmacology exam 2
Study online at https://quizlet.com/_8kecdx
12. adverse reac- o HTN
tions of albuterol o Tachycardia
o Palpitations
o Hyperglycemia
-cardiac dyrhthymias
13. Contraindica- Monitor allergies for milk protein hypersensitivity, contraindicated with cardiac
tions of albuterol disease, hypertension, diabetes, older adult, seizure disorders, renal dysfunction
14. nursing interven- -can raise BCG
tions albuterol -dont give with other SNS agonists
-get baseline BCG, Bp and HR
-resp. assessment-no more wheezing? RR decreasing?
-pt knows how to use MDI
-urine output can be decreased
-avoid cold medicine at same time
-Nasal sprays-only use for short time
15. Adrenergic an- o Block Alpha 1 and beta 1 receptor sites
tagonists class o Prazosin blocks apha 1
-All these drugs in this class end in "sin"
- Work mainly on blood vessels
o Atenolol blocks beta 1
-Drugs in this class end in "olol"
- Work on heart and vessels
16. Beta blockers atenolol, metoprolol
action-Beta 1 blocker decreasing the movement of epinephrine, suppressing the
renin-angiotensin-aldosterone system.
-In turn relaxed blood vessels
17. Indications for o Antihypertensives
beta blockers o Angina
Page 3
