Adrenergic-Blocking Drugs Flashcards

1
Q

What do adrenergic blockers do?

A

inhibits or blocks the stimulation of the sympathetic nervous system (fight or flight)
-used for hypertension
-causes dilation

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2
Q

Alpha blockers medications

A

Nonselective
-phenoxybenzamine
-phentolamine

Alpha 1 Selective (ends in -osin)
-prazosin
-doxazosin
-terazosin
-alfuzosin
-tamsulosin

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3
Q

What are alpha blockers used for?

A

Raynaud’s disease (decreased blood flow to fingers b/c of decreased temp)

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4
Q

Phentolamine indication’s

A

antidote for epinephrine/norepinephrine, reverses vasoconstrictive effects
-restores blood flow and prevents tissue necrosis
-used for raynauds disease

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5
Q

Adverse effects of alpha blockers on cardiovascular system

A

orthostatic hypotension

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6
Q

Adverse effects of alpha blockers on CNS

A

dizziness
headache
anxiety

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7
Q

Tamsulosin (Flomax) indications

A

-alpha blocker used to treat BPH in males, can be used in female patients w/ kidney stones

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8
Q

Tamsulosin contraindications, and what do we monitor for

A

fall risk, monitor postural hypotension
-don’t take with erectile dysfunction medication sildenafil

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9
Q

Beta blockers medications (ends in -lol)

A

cardioselective/beta 1 blocking drugs
-atenolol
-esmolol

nonselective/blocks beta 1, 2
-carvedilol
-labetalol

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10
Q

What does beta 1 blocker do?

A

decreases the heart rate

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11
Q

What does beta 2 blocker do?

A

constrict bronchioles, narrows airways/shortness of breath

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12
Q

Indications for beta blockers

A

used in patients w/ MI
-inhibits stimulation from circulation catecholamines
-antihypertensive drugs

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13
Q

Indications for beta blockers

A

used in patients w/ MI
-inhibits stimulation from circulation catecholamines
-antihypertensive drugs

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14
Q

Adverse effects of beta blocker in cardiovascular system

A

bradycardia, heart failure

can also cause impotence/bronchospasm (constriction)

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15
Q

What may nonselective beta blockers interfere with?

A

-carvedilol
-labetalol

mask the s/s of hypoglycemia
-these two drugs should be used cautiously in pt w/ diabetes

THINK: non=non compatibile w/ diabetes, c & l are non

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16
Q

What do we give a patient whos heart rate is to low b/c of beta blockers

A

give atropine to increase the heart rate

17
Q

Atenolol indications

A

-commonly used to prevent future heart attacks in pt who have had one
-other uses are hypertension and angina
-can block symptoms of excess thyroid activity

17
Q

Carvedilol indications

A

used for heart failure, hypertension, angina
-nonselective beta blocker, alpha 1 blocker, calcium channel blocker
-slows progression of heart failure

18
Q

Esmolol indications

A

-very strong short acting beta 1 blocker
-used to provide rapid temporary control in pt w/ supraventricular tachydysrhythmias
-administed IV

19
Q

adrenergic blocking drugs nursing implications

A

monitor for
-decreased chest pain in pts w/ angina
-return to normal BP and HR