Autonomic Nervous System Drugs

Question 1

Sympathetic (SNS)

Answer 1

fight or flight stress

Question 2

Adrenergic Nervous System.

Answer 2

Sympathetic (SNS) –fight or flight stress

Question 3

Parasympathetic

Answer 3

Rest and digest (Juicy)

Question 4

restores & maintain/rest.

Answer 4

Parasympathetic (PNS)

Question 5

Cholinergic Nervous System

Answer 5

Parasympathetic (PNS) – restores & maintain/rest

Question 6

Cardiovascular
B/P , HR , RESP
Bronchi dilation
Contractility
Pupil Dilation
Sweating
Piloerection (aka “goose bumps”)
Shunt blood away GI Tract and kidneys
Glyconeogenesis & Glycogenolysis.
Release Corticosteroids=Adrenal gland
Suppression of Immune & Inflammatory response

Answer 6

Sympathetic Response

Question 7

This increases visual acuity

Answer 7

Pupil dilation

Question 8

Reduces inflammatory response/ also releases glucose into bloodstream

Answer 8

Corticosteroids

Question 9

Heart beats more forcefully

Answer 9

Contractility

Question 10

Shunts blood away from GI Tract and kidneys to

Answer 10

other priority areas

Question 11

epinephrine and norepinephrine is stimulated in this response

Answer 11

sympathetic

Question 12

glycogenolysis

Answer 12

breakdown of glycogen into glucose

Question 13

Mydriasis

Answer 13

Pupil dilation

Question 14

Vasoconstriction in peripheral blood vessels raises systolic/ diastolic blood pressure
Pupil dilation=mydriasis(BIG word=BIG PUPIL)
Tight urinary sphincter

Answer 14

Alpha 1 receptors normal response

Question 15

In pancreas, controls insulin secretion
Receptors found on nerve membranes- help to prevent overstimulation of the organ/cell by regulating NE uptake

Answer 15

Adrenergic

Alpha 2 receptors normal response

Question 16

Mimics stimulation of sympathetic nervous system

Answer 16

Sympathomimetic

Question 17

Major ADRENERGIC DRUG

Answer 17

Epinephrine (Adrenalin)

Question 18

Adrenergic drugs:

cannot cross blood-brain barrier or taken orally (ex. Epinephrine; Norepinephrine, dopamine, dobutamine)

Answer 18

Catecholamines

Question 19

Adrenergic drugs:

cross blood-brain barrier (ephedrine, albuterol, and phenylephrine)

Answer 19

Noncatecholamines

Question 20

Adverse Effects of Catecholamines:

Answer 20

Nervousness, hypertension, tachycardia, hyperglycemia

Question 21

Adverse Effects of Noncatecholamines:

Answer 21

Anxiety, insomnia, tachycardia; palpitations, dysrhythmias

Question 22

Agonists=

Answer 22

sympathomimetics

Question 23

Isoproterenol (Isuprel) action

Answer 23

bronchodilator

Question 24

Albuterol

Answer 24

Bronchodilator

Question 25

the agent used to treat extravasation of dobutamine.

Answer 25

Phentolamine

Question 26

For a client in shock, dopamine helps to:

Answer 26

increase blood pressure

Question 27

Which would the nurse identify as a naturally occurring catecholamine?

Answer 27

Dopamine

Question 28

Constricts Pupils= miosis (small word=small pupil) Contraction smooth muscle GI=peristalsis Vasodilation Bronchoconstriction Increased secretions bronchus Slows heart rate Decreased myocardial contractility

Answer 28

Effects of the Parasympathetic Nervous System

Question 29

Breakdown of glucose by enzymes, releasing energy

Answer 29

Glycolysis

Question 30

Breakdown of glycogen into glucose

Answer 30

Glycogenolysis

Question 31

In the sympathetic response, corticosteroids reduces inflammation and also

Answer 31

releases glucose into the bloodstream

Question 32

Mydriasis

Answer 32

Pupil dilation

Question 33

Pallor is what type of response?

Answer 33

Sympathetic

Question 34

Example of catecholamine drug

Answer 34

epinephrine

Question 35

Example of non-catecholamine drug

Answer 35

albuterol

Question 36

drugs that cannot pass blood brain barrier

Answer 36

catecholamine

Question 37

drugs that can pass blood brain barrier

Answer 37

non-catecholamine

Question 38

Drug used to treat: acute cardiac arrest, respiratory, and allergic disorder hypotension

Answer 38

epinephrine

Question 39

Contraindications for adrenergic drugs

Answer 39

avoid adrenaline

Question 40

Drugs that promote

Answer 40

agonist

Question 41

Drugs that prevent

Answer 41

antagonist

Question 42

Example of adrenergic agonist

Answer 42

bronchodilator ie albuterol

Question 43

example of adrenergic antagonist

Answer 43

beta blockers

Question 44

beta blockers cause the heart rate to

Answer 44

remain low, blocking adrenergic response

Question 45

beta blockers cause lower HR during exercise so the patient gets

Answer 45

tired faster because of low O2

Question 46

Major alpha and beta adrenergic blocking agent side effect

Answer 46

Hypoglycemia

Question 47

why should the nurse be cautious with diabetic patients taking Beta Blockers?

Answer 47

Beta blockers cause heart rate to decrease and in diabetic patients if there is decrease in the sugar levels then patients would have increase in the heart rate as a warning sign, if the person is on beta blockers it would mask the warning sign which can be fatal and so it is not contraindicated but should be cautiously given in a known case of diabetes.

Question 48

SLUDGE

Answer 48

Salivation Lacrimation Urinary Incontinence Diarrhea GI Cramps Emesis

Question 49

Example of an anticholinergic drug for n/v

Answer 49

scopolamine

Question 50

anticholinergic for overactive bladder

Answer 50

oxybutin

Question 51

Anticholinergic drug that decreases secretions

Answer 51

Atropine