Studydroid is shutting down on January 1st, 2019

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What is the mechanism of action for sympathomimetic/adrenergic agonists?
activate the "fight or flight" resonse by stimulating adrenergic receptors
The therapeutic effects and side effects of sympathomimetic/adrenergic agonists are determined by what?
by the selectivity of the medication
What are the therapeutic uses of sympathomimetic/adrenergic agonists? (5)
- nasal congestion (alpha 1)
- hypotension (beta 1 & alpha 1)
- heart failure (beta 1)
- asthma (beta 2)
- premature labor (beta 2)
Adrenaline (epiniephrine) stimulates what receptors?
all adrenergic receptors - non selective
What are 3 therapeutic uses for Adrenaline (epiniephrine)?
asthma, allergic reactions, cardiac arrest
Whatre are two contraindications of Adrenaline (epiniephrine)?
- certain arrhythmias, HTN
Whatre are three CNS side effects of Adrenaline (epiniephrine)?
- anxiety
- nervousness
- insomnia
What are four CVS side effects of Adrenaline (epiniephrine)?
angina, arrhythmias, HTN, tachycardia
Whare is a endocrine side effect of Adrenaline (epiniephrine)?
hyperglycemia (beta 2)
What receptors are stimulated by Sudafed (pseudoephedrine)?
alpha 1 adrenergic receptors
What are four therapeutic uses of Sudafed (pseudoephedrine)?
allergy, cold, cough, nasal congestion
What are three contraindications of Sudafed (pseudoephedrine)?
- HTN
- Coronary artery disease
- concurrent use with MAO (monoaminoxidate) inhibitors
What are three cautions for Sudafed (pseudoephedrine)?
- pt w/ diabetes
- BPH
- glaucoma
What are four CNS side effects of Sudafed (pseudoephedrine)?
seixures, anxiety, nervousness, insomnia
What are four CVS side effects of Sudafed (pseudoephedrine)?
cardiac arrest, palpitations, HTN, tachycardia
What is a GI side effect of Sudafed (pseudoephedrine)?
anorexia
What four things should be monitored by the nurse when administering Sudafed (pseudoephedrine)?
BP, UOP, Blood glucose, HR
When should Sudafed (pseudoephedrine) not be taken?
2hrs or less before bed
How do you evaluate Sudafed (pseudoephedrine)?
decreased nasal congestion
What receptors are stimulated by Dobutrex (dobutamine)?
beta 1 adrenergic receptors
What is the therapeutic use for Dobutrex (dobutamine)?
treatment of heart failure
What are four CVS side effects of Dobutrex (dobutamine)?
- HTN
- increased HR
- premature ventricular contractions
- other arrythmias
What are four nursing implications of Dobutrex (dobutamine)?
- monitor VS, EKG
- assess for chest pain
- palpate peripheral pulses
- monitor IV site for necrosis (arterial constriction)
What receptors are stimulated by albuterol?
beta 2 adrenergic receptors
What is the therapeutic use for albuterol?
asthma
What are three cautions for abuterol?
- heart disease
- HTN
- diabetes
What are two CNS side effects of albuterol?
- nervousness
- tremor
What are three CVS side effects of albuterol?
angina, palpitations, hypertension
What is an endocrine side effect of albuterol?
hyperglycemia
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