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Unit Two Exam- NRN 170 > Autonomic Nervous System > Flashcards

Autonomic Nervous System Flashcards

1
Q

Sympathetic Nervous System

A

“Flight or Fight”
Increases HR,RR,BP, pupil size, bronchi size

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2
Q

Adrenergic Agonist

A

Aka sympathomimetics
Mimic the effects of the sympathetic nervous system

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3
Q

Examples of Adrenergic Agoniss

A

Epinephrine and Dopamine

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4
Q

Use- Epinenephrine

A

Cardiac arrest, allergic reaction, hypotension, airway obstruction, ophthalmic preparations

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5
Q

Epinephrine Action

A

Stimulates both beta and alpha receptors

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6
Q

Epinephrine Contraindications

A

Hypersensitivity, cardiac dysrhythmias, hypertension and narrow angle glaucoma

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7
Q

Epinephrine Adverse Effects

A

restlessness, arrhythmia, tachycardia, HTN

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8
Q

Epinephrine Monitor

A

allergy, HR/BP, lung sounds

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9
Q

Epinephrine Manage

A

Administer quickly, light exposure, phentolamine (protects from damage that can be caused to the tissues if med comes out of the veins)

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10
Q

Epinephrine Teachings

A

Teach pt how to administer epinephrine in an emergency

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11
Q

Dopamine

A

Immediate precursor to norepinephrine to treat shock
Alpha and beta stimulant

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12
Q

Dopamine Causes

A

Abnormal heart beat, dyspnea, nausea, vomiting, headaches

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13
Q

Doses for Dopamine

A

Low- increase renal output
Low to moderate- cardiac effects
Higher dose- increase peripheral resistance, BP, cardiac effects and vasoconstriction to decrease renal function

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14
Q

Dopamine Monitor

A

Allergy, HR/BP, ECG, cardiac output, urine output

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15
Q

Dopamine Manage

A

Administer quickly, light exposure, phentolamine

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16
Q

Dopamine Teachings

A

Reason for medication, expected results, potential side effects

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17
Q

Beta adrenergic Blockers

A

Aka sympatholytics, beta blockers, adrenergic antagonists
Blocks the effects of the sympathetic nervous system

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18
Q

Beta Blocker Use

A

HTN,angina pectorals, tachyarhythmias,, tremor, prevent MI from reoccurring, glaucoma

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19
Q

Beta blocker action

A

Blocks beta adrenergic receptors

20
Q

Beta blocker contraindications

A

Allergy, bradycardia or heart blocks, bronchospasm or acute asthma, pregnancy

21
Q

Beta Blocker Adverse effects

A

Bradycardia, HF, hypotension, bronchospasms

22
Q

Examples of Beta Adrenergic Blockers

A

-olol
Metoprolol (Lopressor)
Propranolol (Inderal)
Bethanolol

23
Q

Beta Blocker Monitor

A

Vital Signs esp bradycardia (take apical pulse)
HOLD MED IF LOW BP
BS for hypoglycemia
Lung sounds, RR

24
Q

Beta Blocker Manage

A

Sit at bed to allow BP to adjust before standing up
Comfort and safety measures
May not be effective in African American pt

25
Q

Beta Blocker Teach

A

Potential side effects, move position slowly, do not abruptly stop taking, monitor blood sugar

26
Q

Parasympathomimetics

A

Aka cholinergic agonists
Mimic the effects of the parasympathetic nervous system response rest and digest

27
Q

Parasympathomimetics Use

A

increase bladder tone, urinary excretion, and GI secretions; induce miosis (pupil constriction)

28
Q

Parasympathomimetics Action

A

Decreased HR, vasodilation
Increased tone and contractility in GI smooth muscle Relaxation of sphincters
Increased salivary gland and GI secretion
Increased bladder contraction
Increased respiratory secretion
Constriction of pupils (miosis)

29
Q

Parasympathomimetics Contraindications

A

•GI/urinary tract obstruction
•Asthma
•CAD coronary artery disease

30
Q

Parasympathomimetics Adverse Effects

A

•Cramps,
•Diarrhea,
•Excessive salivation
•Muscle weakness,
•Diff. breathing (s/s overdose)

31
Q

Cholinergic Agonists Monitor

A

For contraindications
BP, HR,Heart and Lung sounds
• Bowel sounds, bladder
• Intake and Output

32
Q

Cholinergic Agonists Manage

A

Administer PO meds on empty stomach
• Safety precautions – miosis
•Monitor I&O
•Antidote: atropine

33
Q

Cholinergic Agonists Teach

A

•Proper administration of ophthalmic meds OR
• Taking PO meds on empty stomach
•Need for access to toileting

34
Q

Parasympatholytics

A

Aka anticholinergic agents
Inhibits the effects of the parasympathetic nervous system

35
Q

atropine

A

Common medication to give pt who are on hospice to decrease respiratory secretions in tract so labored breathings are less
Can also increase HR and BP

36
Q

Parasympatholytics/Anticholinergic Agents Use

A

decrease GI activity, Ophthalmic (pupil dilation), bronchodilation, overactive bladder, symptomatic bradycardia, motion sickness

37
Q

Parasympatholytics/Anticholinergic Agents Action

A

Block acetylcholine at receptor site
Increases HR, vasoconstriction
Decreased tone and contractility in GI smooth muscle Constriction of sphincters
Decreased salivary gland and GI secretion Decreased bladder contraction
Decreased respiratory secretion
Dilation of pupils (mydriasis)

38
Q

Parasympatholytics/Anticholinergic Agents Contraindications

A

MI, glaucoma, tachycardia, GI obstruction, BPH, bladder obstruction

39
Q

Parasympatholytics/Anticholinergic Agents Adverse Effects

A

Dilated Pupils
•Dry mouth
•Decrease GI/GU motility

40
Q

Parasympatholytics/Anticholinergic Agents Monitor

A

•Contraindications
• BP, HR, Heart and Lung sounds
• Bowel sounds, bladder
•Intake and Output
•Pupils

41
Q

Parasympatholytics/Anticholinergic Agents Manage

A

• Provide comfort measures to tolerate drug effects
• Ensure adequate fluid intake

42
Q

Parasympatholytics/Anticholinergic Agents Teach

A

No OTC- WHY?
• Prevent heat exhaustion,
•Side effects 3D’s,
•Notify MDif urinary retention/constipation

43
Q

Relaxation on a beach
-olol
Inhibits effects of SNS

A

Beta Blocker/Sympatholytic

44
Q

“New York”
Fast pace stress response
Quick

A

Adrenergic Agonist, Sympathomimetics

45
Q

a lot of urinary output
Stimulate PNS
Very wet secretions
“RAINFOREST”

A

Cholinergic, Parasympathomimetics

46
Q

Dry up pt urinary output and GI
Dry mouth dry eyes
Can’t see can’t pee can’t poop can’t spit
“Desert”

A

Anti Cholinergic,Parasympatholytic

Unit Two Exam- NRN 170 (4 decks)

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