NSG 511. PHARM Exam 1
Albuterol (Proventil) - drug class - answer-beta 2 agonist (selective)
-bronchodilator
Albuterol (Proventil)- mechanism of action - answer-selectively targets beta 2 receptors
of SNS on lungs, liver, and uterus
-mainly targets beta 2 receptors on the lungs
Albuterol (Proventil)- beneficial effects - answer-beneficial effects:
-bronchodilation
-easier to move air in and out of lungs
-decrease work of breathing for asthma Pt
Albuterol (Proventil)- nursing implications - answer-used for asthma
-aerosol (inhaler)
-indicated for expiratory wheezes
Epinephrine- drug class - answerbeta agonist
Epinephrine- mechanism of action - answernon-selective beta 1, beta 2, alpha 1, and
alpha 2 agonist
Epinephrine- beneficial effects - answer-beneficial effects:
-bronchodilation
-vasodilation of heart, lungs, and skeletal muscle
Epinephrine- side effects - answerside effects:
-increased HR
-increased BP
-cool skin
-pupils dilate
-uterine muscles relax
-hyperglycemia
-increased oxygen demand
-light intolerance
-photophobia
Epinephrine- nursing implication - answernursing implications
-parenteral/topical formulations only
-used in emergency asthma situations
, atropine- drug class - answermuscarinic antagonist
anti-cholinergic
atropine- mechanism of action - answer-turns off (stops receptor stimulation) muscarinic
receptors
-decreases PNS activity = decreases rest/digest/secretions
-non-selective cholinergic antagonist
atropine- beneficial effects - answerbeneficial effects:
-mydriasis= pupil dilation (for ophthalmic exam)
-increases HR
-decreases diarrhea/dysentery
-dry pulmonary and GI secretions during surgery of at end of life
atropine- side effects - answerside effects:
-blurred vision
-photophobia (in bright lights)
-tachycardia
-constipation
-dry mouth
-anhidrosis (no sweat)
bethanechol (urecholine)- drug class - answermuscarinic agonist
bethanechol (urecholine)- mechanism of action - answer-target muscarinic receptors of
the urinary system
-detrussor contraction and sphincter/trigone relaxation via increase in PNS receptor
activity
bethanechol (urecholine)- beneficial effects - answerbeneficial effects:
-emptying of bladder
-increased urination
-decrease bulge/tenderness
(still need to do bladder scan)
bethanechol (urecholine)- side effects - answerside effects:
-decreased BP (hypotension)
-salivation and peristalsis
-diarrhea
-bronchoconstriction and airway secretions
bethanechol (urecholine)- nursing implications - answernursing implications:
-indications for urinary retentions
-contraindications for urinary/intestinal obstructions and recent bowel surgery
-have supplies/facilities ready
-notify provider if excess side effects occur
Albuterol (Proventil) - drug class - answer-beta 2 agonist (selective)
-bronchodilator
Albuterol (Proventil)- mechanism of action - answer-selectively targets beta 2 receptors
of SNS on lungs, liver, and uterus
-mainly targets beta 2 receptors on the lungs
Albuterol (Proventil)- beneficial effects - answer-beneficial effects:
-bronchodilation
-easier to move air in and out of lungs
-decrease work of breathing for asthma Pt
Albuterol (Proventil)- nursing implications - answer-used for asthma
-aerosol (inhaler)
-indicated for expiratory wheezes
Epinephrine- drug class - answerbeta agonist
Epinephrine- mechanism of action - answernon-selective beta 1, beta 2, alpha 1, and
alpha 2 agonist
Epinephrine- beneficial effects - answer-beneficial effects:
-bronchodilation
-vasodilation of heart, lungs, and skeletal muscle
Epinephrine- side effects - answerside effects:
-increased HR
-increased BP
-cool skin
-pupils dilate
-uterine muscles relax
-hyperglycemia
-increased oxygen demand
-light intolerance
-photophobia
Epinephrine- nursing implication - answernursing implications
-parenteral/topical formulations only
-used in emergency asthma situations
, atropine- drug class - answermuscarinic antagonist
anti-cholinergic
atropine- mechanism of action - answer-turns off (stops receptor stimulation) muscarinic
receptors
-decreases PNS activity = decreases rest/digest/secretions
-non-selective cholinergic antagonist
atropine- beneficial effects - answerbeneficial effects:
-mydriasis= pupil dilation (for ophthalmic exam)
-increases HR
-decreases diarrhea/dysentery
-dry pulmonary and GI secretions during surgery of at end of life
atropine- side effects - answerside effects:
-blurred vision
-photophobia (in bright lights)
-tachycardia
-constipation
-dry mouth
-anhidrosis (no sweat)
bethanechol (urecholine)- drug class - answermuscarinic agonist
bethanechol (urecholine)- mechanism of action - answer-target muscarinic receptors of
the urinary system
-detrussor contraction and sphincter/trigone relaxation via increase in PNS receptor
activity
bethanechol (urecholine)- beneficial effects - answerbeneficial effects:
-emptying of bladder
-increased urination
-decrease bulge/tenderness
(still need to do bladder scan)
bethanechol (urecholine)- side effects - answerside effects:
-decreased BP (hypotension)
-salivation and peristalsis
-diarrhea
-bronchoconstriction and airway secretions
bethanechol (urecholine)- nursing implications - answernursing implications:
-indications for urinary retentions
-contraindications for urinary/intestinal obstructions and recent bowel surgery
-have supplies/facilities ready
-notify provider if excess side effects occur
