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Questions and Answers

Which division of the nervous system consists of autonomic neurons that conduct impulses from the central nervous system to glands, smooth muscle, and cardiac muscle?

  • Autonomic Nervous System (correct)
  • Peripheral Nervous System
  • Somatic Nervous System
  • Central Nervous System
  • What are neurotransmitters?

  • Chemical messengers that carry chemical signals from one neuron to another (correct)
  • Chemical messengers that carry electrical signals from one muscle cell to another
  • Chemical messengers that carry chemical signals from one muscle cell to another
  • Chemical messengers that carry electrical signals from one neuron to another
  • Which type of neurotransmitter encourages a target cell to take action?

  • Modulatory neurotransmitters
  • All neurotransmitters have the same effect
  • Inhibitory neurotransmitters
  • Excitatory neurotransmitters (correct)
  • What is the main function of inhibitory neurotransmitters?

    <p>To decrease the chances of a target cell taking action</p> Signup and view all the answers

    What is the role of the autonomic nervous system in maintaining internal homeostasis?

    <p>Maintaining muscle and cardiac muscle</p> Signup and view all the answers

    Which division of the nervous system is responsible for regulating hormone secretion from glands?

    <p>Autonomic Nervous System</p> Signup and view all the answers

    Which of the following medications is primarily used to support the heart during cardiac failure or shock?

    <p>Dobutamine</p> Signup and view all the answers

    Which of the following medications has both dopaminergic, B1, and A1 effects?

    <p>Dopamine</p> Signup and view all the answers

    Which medication primarily stimulates α-adrenergic receptors and causes vasoconstriction?

    <p>Norepinephrine</p> Signup and view all the answers

    Which medication is a selective vasoactive β1-adrenergic drug that increases cardiac output by increasing contractility?

    <p>Dobutamine</p> Signup and view all the answers

    Which medication works almost exclusively on α-adrenergic receptors and is used for short-term treatment to raise blood pressure in patients who are in shock?

    <p>Phenylephrine</p> Signup and view all the answers

    Which of the following is a contraindication for using adrenergic-blocking drugs?

    <p>All of the above are contraindications</p> Signup and view all the answers

    Which of the following is NOT a contraindication for A-Blockers?

    <p>Heart block</p> Signup and view all the answers

    Which of the following is a potential adverse effect of B-Blockers?

    <p>Erectile dysfunction</p> Signup and view all the answers

    Which type of B-Blockers constrict bronchioles and can result in narrowing of airways and shortness of breath?

    <p>Nonselective B-blockers</p> Signup and view all the answers

    Which of the following is NOT an indication for B-Blockers?

    <p>Glaucoma</p> Signup and view all the answers

    Which of the following is a potential adverse effect of cholinergic agonists?

    <p>Dry mouth</p> Signup and view all the answers

    Which type of cholinergic receptors are located in the ganglia where presynaptic and postsynaptic nerve fibers meet?

    <p>Nicotinic receptors</p> Signup and view all the answers

    Which receptors are activated by the sympathetic nervous system neurotransmitters?

    <p>Adrenergic receptors</p> Signup and view all the answers

    What is the function of a1-adrenergic receptors?

    <p>Vasoconstriction and CNS stimulation</p> Signup and view all the answers

    What is the function of B2-adrenergic receptors?

    <p>Bronchodilation and uterine relaxation</p> Signup and view all the answers

    Which receptors are stimulated by sympathomimetic drugs?

    <p>Adrenergic receptors</p> Signup and view all the answers

    What is the difference between direct-acting and indirect-acting sympathomimetic drugs?

    <p>Direct-acting drugs bind directly to the receptor, while indirect-acting drugs cause release of neurotransmitters</p> Signup and view all the answers

    What is the indication for the use of bronchodilators?

    <p>Treatment of asthma and bronchitis</p> Signup and view all the answers

    Which medication is used to enhance memory and learning capabilities in patients with Alzheimer's disease?

    <p>Donepezil (Aricept)</p> Signup and view all the answers

    Which medication is a cholinergic antagonist?

    <p>Atropine sulphate</p> Signup and view all the answers

    Which medication is used to treat parkinson's disease by decreasing muscle rigidity and tremors?

    <p>Atropine sulphate</p> Signup and view all the answers

    Which medication is used to prevent motion sickness?

    <p>Scopolamine</p> Signup and view all the answers

    Which medication is used to reduce salivation and excessive secretions in the respiratory and GI tract?

    <p>Glycopyrrolate</p> Signup and view all the answers

    Which medication is used for overactive bladder and as an antispasmodic for neurogenic bladder?

    <p>Oxybutynin</p> Signup and view all the answers

    Which of the following is a contraindication for the use of Donepezil (Aricept) in Alzheimer's disease?

    <p>GI or GU tract obstruction</p> Signup and view all the answers

    Which of the following is an adverse effect of Donepezil (Aricept)?

    <p>Syncope</p> Signup and view all the answers

    Which of the following is a nursing implication for the use of cholinergic blocking drugs?

    <p>Assess for allergies and contraindications</p> Signup and view all the answers

    Which of the following is a therapeutic effect of anti-Alzheimer's drugs like Donepezil (Aricept)?

    <p>Enhance memory and learning capabilities</p> Signup and view all the answers

    Which of the following is an indication for the use of anticholinergic drugs?

    <p>Decreases muscle rigidity and tremors in Parkinson's disease</p> Signup and view all the answers

    Which of the following is an adverse effect of anticholinergic drugs?

    <p>Dilated pupils (mydriasis)</p> Signup and view all the answers

    Study Notes

    Autonomic Nervous System

    • The autonomic nervous system consists of autonomic neurons that conduct impulses from the central nervous system to glands, smooth muscle, and cardiac muscle.

    Neurotransmitters

    • Neurotransmitters are chemicals that transmit signals from one neuron to another.
    • Excitatory neurotransmitters encourage a target cell to take action.
    • Inhibitory neurotransmitters reduce the activity of the target cell.

    Autonomic Nervous System

    • The autonomic nervous system plays a crucial role in maintaining internal homeostasis.
    • The autonomic nervous system regulates hormone secretion from glands.

    Medications

    • Dobutamine is primarily used to support the heart during cardiac failure or shock.
    • Dopamine has both dopaminergic, B1, and A1 effects.
    • Vasopressin primarily stimulates α-adrenergic receptors and causes vasoconstriction.
    • Dobutamine is a selective vasoactive β1-adrenergic drug that increases cardiac output by increasing contractility.
    • Phenylephrine works almost exclusively on α-adrenergic receptors and is used for short-term treatment to raise blood pressure in patients who are in shock.

    Contraindications and Adverse Effects

    • Uncontrolled hypertension is a contraindication for using adrenergic-blocking drugs.
    • Bronchial asthma is not a contraindication for A-Blockers.
    • B-Blockers can cause bronchospasm as a potential adverse effect.
    • Non-selective B-Blockers constrict bronchioles and can result in narrowing of airways and shortness of breath.
    • Hypertension is not an indication for B-Blockers.
    • Excessive salivation is a potential adverse effect of cholinergic agonists.

    Cholinergic Receptors

    • Nicotinic cholinergic receptors are located in the ganglia where presynaptic and postsynaptic nerve fibers meet.
    • Muscarinic receptors are activated by the parasympathetic nervous system neurotransmitters.
    • α1-adrenergic receptors cause vasoconstriction.
    • β2-adrenergic receptors cause smooth muscle relaxation and bronchodilation.
    • Sympathomimetic drugs stimulate α- and β-adrenergic receptors.

    Direct- and Indirect-Acting Sympathomimetic Drugs

    • Direct-acting sympathomimetic drugs act directly on receptors.
    • Indirect-acting sympathomimetic drugs release stored neurotransmitters from nerve terminals.

    Indications and Contraindications

    • Bronchodilators are used to treat bronchospasm.
    • Donepezil (Aricept) is used to enhance memory and learning capabilities in patients with Alzheimer's disease.
    • Atropine is a cholinergic antagonist.
    • Levodopa is used to treat Parkinson's disease by decreasing muscle rigidity and tremors.
    • Scopolamine is used to prevent motion sickness.
    • Atropine is used to reduce salivation and excessive secretions in the respiratory and GI tract.
    • Oxybutynin is used to treat overactive bladder and as an antispasmodic for neurogenic bladder.

    Contraindications and Adverse Effects

    • Severe liver disease is a contraindication for the use of Donepezil (Aricept) in Alzheimer's disease.
    • Nausea is an adverse effect of Donepezil (Aricept).
    • Monitoring for anticholinergic effects is a nursing implication for the use of cholinergic blocking drugs.
    • Improved cognitive function is a therapeutic effect of anti-Alzheimer's drugs like Donepezil (Aricept).
    • Urinary retention is an indication for the use of anticholinergic drugs.
    • Dry mouth is an adverse effect of anticholinergic drugs.

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    Description

    Test your knowledge on Dipivefrin Hydrochloride, a medication used to support the heart during cardiac failure or shock. Learn about its effects on a- and B- receptors, vasoconstriction, and its classification as inotropes, chronotropes, and dromotropes. Explore examples such as Epinephrine and Norepinephrine.

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