3365 UTA Pharm Exam 2 With Correct
Answers
Epinephrine is used for ___ ___ and ___ ___ - -cardiac arrest, allergic reaction
-Adrenergic Stimulating drugs - -epinephrine
-What system is epinephrine stimulating? - -SNS
-What are the adverse effects of epinephrine? - -tremors, agitation,
tachycardia, urinary retention, hypertension, decreased renal perfusion
-When determining the difference between urinary retention and decreased
urinary perfusion, what should you do? - -palpate the bladder
-Before administering epinephrine, the nurse should assess the ___ and the
___ since the drug causes vasoconstriction. - -BP, HR
-When giving epinephrine for allergic reaction, how do you evaluate if it
worked? - -wheezing stopped, BP comes up
-If infiltration has occurred during IV epinephrine administration, you will
notice ___ and ___ to the touch around the site. - -swelling, coolness
-What is the drug given for epinephrine infiltration? - -phentolamine
-Adrenergic Blocking drugs - -Alpha-Blockers
Beta-blockers
-Phentolamine will prevent ___ due to ___ if epinephrine is infiltrated. - -
necrosis, ischemia
-If administering epinephrine for cardiac arrest, you should always flush with
___ mL of ___ to make sure the drug gets into the bloodstream. - -20, saline
-___ and ___ are the two alpha blockers used for hypertension - -doxazosin,
prazosin
-___ is the alpha blocker used for BPH - -tamsulosin
-The first dose phenomenon with alpha blockers causes massive ___ and a
severe drop in ___ - -vasodilation, BP
-You normally administer alpha blockers in the ___ because the patient is ___
likely to get up. - -night, less
, -When evaluating the effectiveness of tamsulosin, you will know it is working
because the patient will be able to ___, have ___ urgency, and ___ frequency.
- -empty their bladder
-What do you teach your patient about standing on alpha blockers? - -rise
slowly, in stages
-The last name of all the beta blockers is ___ - -olol
-When you are blocking beta 1, the HR will ___ ___ - -slow down
-Centrally-acting Adrenergic Drugs - -clonidine
-Beta 1 selective blockers can be used in ___ and ___ patients because they
don't affect the ___ - -COPD, asthma, lungs
-Non-selective beta blockers block both beta 1 and beta 2 and cause ___ and
possibly ___ distress - -bronchoconstriction, respiratory
-What type of patient should not receive a non-selective beta blocker? - -
COPD, asthma
-___ only mildly affects the lungs, so a COPD/asthma patient could take it,
but you have to make sure that you monitor closely - -carvedilol
-Do not administer a beta blocker if the HR is less than ___ - -60
-What assessments would you do prior to administering a beta blocker? - -
lung sounds, RR, hx of pulmonary disease, HR, diabetes, BP
-When administering a beta blocker to a ___ patient, they are at risk of
having masking of ___ symptoms, so the nurse will have to more closely
monitor their ___ - -diabetic, hypoglycemic, blood sugar
-You should withhold a beta blocker when the systolic bp is less than ___ - -
100
-How do you know a beta blocker is working? - -decreased bp, normal HR,
regular rhythm
-Vasodilators - -hydralazine, diazoxide, minoxidil
-Stopping taking a beta blocker abruptly could cause ___ ___ - -rebound
hypertension
Answers
Epinephrine is used for ___ ___ and ___ ___ - -cardiac arrest, allergic reaction
-Adrenergic Stimulating drugs - -epinephrine
-What system is epinephrine stimulating? - -SNS
-What are the adverse effects of epinephrine? - -tremors, agitation,
tachycardia, urinary retention, hypertension, decreased renal perfusion
-When determining the difference between urinary retention and decreased
urinary perfusion, what should you do? - -palpate the bladder
-Before administering epinephrine, the nurse should assess the ___ and the
___ since the drug causes vasoconstriction. - -BP, HR
-When giving epinephrine for allergic reaction, how do you evaluate if it
worked? - -wheezing stopped, BP comes up
-If infiltration has occurred during IV epinephrine administration, you will
notice ___ and ___ to the touch around the site. - -swelling, coolness
-What is the drug given for epinephrine infiltration? - -phentolamine
-Adrenergic Blocking drugs - -Alpha-Blockers
Beta-blockers
-Phentolamine will prevent ___ due to ___ if epinephrine is infiltrated. - -
necrosis, ischemia
-If administering epinephrine for cardiac arrest, you should always flush with
___ mL of ___ to make sure the drug gets into the bloodstream. - -20, saline
-___ and ___ are the two alpha blockers used for hypertension - -doxazosin,
prazosin
-___ is the alpha blocker used for BPH - -tamsulosin
-The first dose phenomenon with alpha blockers causes massive ___ and a
severe drop in ___ - -vasodilation, BP
-You normally administer alpha blockers in the ___ because the patient is ___
likely to get up. - -night, less
, -When evaluating the effectiveness of tamsulosin, you will know it is working
because the patient will be able to ___, have ___ urgency, and ___ frequency.
- -empty their bladder
-What do you teach your patient about standing on alpha blockers? - -rise
slowly, in stages
-The last name of all the beta blockers is ___ - -olol
-When you are blocking beta 1, the HR will ___ ___ - -slow down
-Centrally-acting Adrenergic Drugs - -clonidine
-Beta 1 selective blockers can be used in ___ and ___ patients because they
don't affect the ___ - -COPD, asthma, lungs
-Non-selective beta blockers block both beta 1 and beta 2 and cause ___ and
possibly ___ distress - -bronchoconstriction, respiratory
-What type of patient should not receive a non-selective beta blocker? - -
COPD, asthma
-___ only mildly affects the lungs, so a COPD/asthma patient could take it,
but you have to make sure that you monitor closely - -carvedilol
-Do not administer a beta blocker if the HR is less than ___ - -60
-What assessments would you do prior to administering a beta blocker? - -
lung sounds, RR, hx of pulmonary disease, HR, diabetes, BP
-When administering a beta blocker to a ___ patient, they are at risk of
having masking of ___ symptoms, so the nurse will have to more closely
monitor their ___ - -diabetic, hypoglycemic, blood sugar
-You should withhold a beta blocker when the systolic bp is less than ___ - -
100
-How do you know a beta blocker is working? - -decreased bp, normal HR,
regular rhythm
-Vasodilators - -hydralazine, diazoxide, minoxidil
-Stopping taking a beta blocker abruptly could cause ___ ___ - -rebound
hypertension
