Hesi Milestone Exam 1 Updated A version graded A+ with correct answers

bind selectively to H1-histaminic receptors, blocking the actions of histamine at these sites - Histamine1 blockers action(mine, zine, dine) -mild allergies(seasonal rhinitis) -severe allergies(anaphylaxis) -motion sickness -insomnia -common cold - H1 antagonists are useful in treating block the H2 receptors responsible for stimulating the secretion of gastric acid - Histamine (H2)-Receptor Antagonists action(tidine) -can occur right after meals -for severe hypoglycemia give IV dextrose - Exenatide (Byetta) hypoglycemia -teach about s/s of hypoglycemia(cold and clammy give them candy) -have glucagon emergency kit available -regular monitoring of A1c levels are required - Exenatide (Byetta) hypoglycemia teaching -insulin overdose -reduced food intake -vomiting and diarrhea -excessive alcohol intake -unaccustomed exercise -termination of pregnancy - Exenatide (Byetta) hypoglycemia causes -tachycardia -palpitations -sweating -nervousness -headache -confusion -drowsiness -fatigue - signs and symptoms of hypoglycemia Act on the cough control center in the medulla to suppress the cough reflex; used for a cough that is nonproductive and irritating - antitussives therapeutic action is to -laryngeal edema, bronchoconstriction, severe hypotension= immediate hypersensitivity reaction - Anaphylaxis‐PCN epinephrine (subQ, IM, or IV) plus respiratory support - Anaphylaxis treatment vancomycin, erythromycin, and clindamycin - What drugs are effective and safe alternatives for patients with penicillin allergies? observed for at least 30 minutes after drug injection (i.e., until the risk of an anaphylactic reaction has passed). - To ensure prompt treatment if anaphylaxis should develop patients should be? an initial small dose is followed at 60-minute intervals by progressively larger doses until the full therapeutic dose has been achieved - To minimize the chances of an anaphylactic reaction, penicillin should be administered -Naloxone (narcan) -Intravenous, IM, and subQ. For initial treatment, administer IV - Morphine overdose treatment