Pharmacology Review
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Questions and Answers

A patient is experiencing symptomatic bradycardia. Which medication would be MOST appropriate to increase their heart rate?

  • Pilocarpine
  • Dobutamine (correct)
  • Clonidine
  • Metoprolol

A patient presents with nasal congestion and the doctor wants to prescribe a medication to alleviate this symptom by causing vasoconstriction. Which of the following medications would be MOST appropriate?

  • Pseudoephedrine (correct)
  • Albuterol
  • Metoprolol
  • Lisopril

A patient with hypertension is prescribed metoprolol. What is the primary mechanism by which this medication helps to lower blood pressure?

  • Alpha 1 agonism
  • Alpha 2 agonism
  • Beta 2 agonism
  • Beta 1 antagonism (correct)

A patient is started on Lisinopril for hypertension. Which of the following is a potential side effect that the patient should be educated about?

<p>Dry cough (A)</p> Signup and view all the answers

A patient needs rapid-acting insulin before a meal. Which of the following insulin types would be MOST appropriate?

<p>Lispro (B)</p> Signup and view all the answers

A doctor prescribes Clonidine to a patient. What receptor does this medication target and what is its primary effect?

<p>Alpha 2 agonist; decreases sympathetic outflow (C)</p> Signup and view all the answers

A patient is prescribed Glargine insulin. What is a key characteristic of this type of insulin regarding its duration of action?

<p>Long duration with no pronounced peak (B)</p> Signup and view all the answers

A patient is experiencing bronchoconstriction. Which of the following medications would be most appropriate to help alleviate their symptoms?

<p>Albuterol (D)</p> Signup and view all the answers

A patient is prescribed NPH insulin. Approximately how long after administration can the patient expect the peak effect of this insulin?

<p>6-8 hours (C)</p> Signup and view all the answers

Which medication mimics the action of acetylcholine by directly binding to muscarinic receptors?

<p>Pilocarpine (A)</p> Signup and view all the answers

Flashcards

Pilocarpine

A muscarinic acetylcholine receptor agonist.

Pseudoephedrine

An alpha 1 adrenergic receptor agonist causing vasoconstriction.

Clonidine

An alpha 2 adrenergic receptor agonist.

Dobutamine

A beta 1 adrenergic receptor agonist that increases heart rate.

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Metoprolol

A beta 1 adrenergic receptor antagonist that decreases blood pressure.

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Albuterol

A beta 2 adrenergic receptor agonist.

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ACE Inhibitors

Inhibits angiotensin-converting enzyme, examples include Lisinopril and Enalapril, a side effect can be a dry cough.

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Lispro and Aspart

Rapid-acting insulin with an onset of 15 minutes and a peak at 1 hour.

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Short acting Insulin

Short acting insulin. Onset 30 mins, peak 2-3 hours

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Glargine, Determir

Long-acting insulin analogs providing a basal insulin level without a pronounced peak.

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Study Notes

  • Pilocarpine is a muscarinic agonist.
  • Pseudoephedrine is an alpha 1 agonist that causes vasoconstriction.
  • Clonidine is an alpha 2 agonist.
  • Dobutamine is a beta 1 agonist that increases heart rate.
  • Metoprolol is a beta 1 blocker that decreases blood pressure.
  • Albuterol is a beta 2 agonist.
  • ACE inhibitors like Lisopril and enalapril can cause a dry cough.
  • Lispro and Aspart are rapid-acting insulins with an onset of 15 minutes and a peak at 1 hour.
  • Short-acting insulin has an onset of 30 minutes and peaks in 2-3 hours.
  • Intermediate insulin (NPH) has an onset of 2 hours and peaks in 6-8 hours.
  • Long-acting insulins include Glargine and Determir, which have no peak.

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Description

Overview of various drugs and their mechanisms of action. Includes information on agonists and antagonists for muscarinic, alpha, and beta receptors. Also covers different types of insulin and ACE inhibitors.

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