test retake update.docx

Ch18 Ad drugs are sympathomimetic…..they mimic…..and effect SNS. What are the resp indications for ad drugs? Bet2 – dilate such as decreased resp and increased o2 sats in a peds patient with an asthma attack we gave albuterol too. Catecholamine – slide 4 – they are dopamine, epi, norepinephrine. Cat...

Ch18 Ad drugs are sympathomimetic…..they mimic…..and effect SNS. What are the resp indications for ad drugs? Bet2 – dilate such as decreased resp and increased o2 sats in a peds patient with an asthma attack we gave albuterol too. Catecholamine – slide 4 – they are dopamine, epi, norepinephrine. Catecholamines mimic so they are sympathomimetic Alpha1 in heart and blood vessels cause vasoconstrict which causes BP, HR, and oxygen demand to increase. Administer epi or albuterol in emergent situation. Nursing implications for nasal spray can cause rebound congestion and is addictive. MOA of epi is increased hr, bp, and respirations and is used for a code. MOA of dobutamine is a beta1 selective vasoactive ad drug it increase cardiac output by increasing contractility which increases the stroke value and it is only available through IV pump and you would administer it the patient is having cardiac decompensation. Positive inotrope - force of contraction on the heart CHAPTER 19 MOA for beta blocker is that they lower BP, HR, and myocardial contractility, and constrict bronchioles Beta Blocker meds end in LOL Propanolol – HTN, Anxiety, and Headaches Timolol – interocular pressure given optically. The MOA of alpha blockers is HTN medication, and vasodialation Alpha blockers end in SIN and MINE. BPH medication is Flomax/Tamsulosin. Nursing implications for nonselective ad blockers – you would establish a baseline VS BP, R, P, O2 for your patient. CHAPTER 20 Cholinergic drugs effects pupils, intestines, and bladder, and your sweat glands. (slide 95 and 96) Cholinergic drugs open you up so you sweat, pee, diarheaa, sweating, (SLIDE 95) A toxic effect of cholinergic drugs is SLUDGE Atropine is the antidote to cholinergic drugs. Know the names of the cholinergic drugs and the indications.* (we can clump the indication but not the drug names) Slide 116 – herbal products and the patient interactions Chapter 21 Chol-blocking drugs dry you out – decreased pooping, peeing, crying, sweating. Patient with urinary retention and GI obstruction and glaucoma Should be careful taking this medication and should contact their doctor if muscle weakness, abdominal cramps, and diarrhea, or difficulty breathing. Slide 142 Know the chol blocking drugs (6 of them) know what they are used for. You would give this drug before surgery to avoid aspiration. Chapter 22 HTN is high BP know the numbers When you have high BP you run the risk of developing cardiovascular disease Clonidine and Methaladopa , How do they lower BP – slide 167 3 SINS and Flomax used for BPH Labatolol and Carval slide 170 – reduce HR and vasodilate ACE inhibitor are for HTN and renal so they are given to diabetic patients PRILS – ending Adverse effects are dry non productive cough Educate patients: may cause dizziness, stand up slow. With ACE and diuretics, education your patients on drinking water to prevent dehydration Patients at risk for heat stroke are those taking anti cholinergic drugs. Arbs don’t have non productive cough. Low sodium diet for all htn patients. CHAPTER 26 Listen to the recording about warfarin Education for aspirin is to take with food and water Listen to recording about bridge therapy Listen to recording to find out what to be careful with with vitamin k Patient walks in and with no kidney disease or no heart problems but has family history and has hypertension- give diuretics. Which statement about ARBS is more likely true? Hyperkalemia. Adrenergic Drugs: Patient education, risk for falls, sit and dangle.. High risk of fainting first dose. First dose syncope- fainting, heart will rebound, can lead to reflex tachycardia.