Autonomic Nervous System

Question 1

Alpha1 adrenergic agonist

Answer 1

Phenylephrine (Neosynephrine)
Pseudoephedrine (Sudafed)
Tetrahydrozoline (Visine)

Question 2

Phenylephrine (Neosynephrine)
Pseudoephedrine (Sudafed)
Tetrahydrozoline (Visine)
used for

Answer 2

• Generally prescribed for nasal congestion and hypotension

- May be used to produce mydriasis during ophthalmic exams

Question 3

Phenylephrine (Neosynephrine)
Pseudoephedrine (Sudafed)
Tetrahydrozoline (Visine)
ADVERSE EFFECTS

Answer 3

Headache
Restlessness
Insomnia
Euphoria
Palpitations/Tachycardia
Dysrhythmias
Hypertension
Pulmonary edema
Cardiac arrest

Question 4

Phenylephrine (Neosynephrine)
Pseudoephedrine (Sudafed)
Tetrahydrozoline (Visine)
NURSING CONCERNS

Answer 4

• Monitor cardiac and respiratory status
• Baseline Vitals
• I&O
• Underlying problem/preexisting conditions
• Examine IV sites frequently
• Remove contact lenses/dark eye protection after eye use
• Limit use to 3-5 days intranasal

Question 5

Epinephrine (Adrenalin)

MOA

Answer 5

Activate both alpha and beta receptors

Question 6

Epinephrine (Adrenalin)

USED FOR

Answer 6

Used to treat bronchospasm, cardiac arrest, and hypotension

CPR, antishock, antianaphylaxis, bronchodilator