Chap 19 Adrenergic-Blocking Drugs

Question 1

Alpha Blockers Indication

Answer 1

*Raynaud’s disease,
acrocyanosis, and
frostbite

Question 2

Tamsulosin (Flomax)

Answer 2

to treat BPH
indicated for male patients
can be used in female patients with kidney stones

Contraindications
use of erectile dysfunction drugs such as sildenafil

Question 3

Beta Blockers: 
Mechanism of Action

Answer 3

Decrease heart rate

Question 4

Beta Blockers: Indications and Adverse Effects

Answer 4

Indication
Decreases demand for myocardial oxygen

Adverse Effects
May mask signs and symptoms of hypoglycemia

Question 5

Atenolol (Tenormin)

Answer 5

Cardioselective beta blocker
used to prevent future heart attacks in patients who have had one
Hypertension and angina
Management of thyrotoxicosis to help block the symptoms of excessive thyroid activity

Question 6

Carvedilol (Coreg)

Answer 6

Nonselective beta blocker, an alpha1-blocker, a calcium channel blocker, and possibly an antioxidant

Uses: heart failure, hypertension, and angina

Slows progress of heart failure and decrease frequency of hospitalization in patients w mild to moderate (class II or III) heart failure

Most commonly added to digoxin, furosemide, and angiotensin-converting enzyme inhibitors when used to treat heart failure

Question 7

Esmolol (Brevibloc)

Answer 7

Very strong short-acting beta1-blocker

Primary use: acute situations in patients with supraventricular tachydysrhythmias

Question 8

Beta-Blocking Drugs: 
Nursing Implications

Answer 8

patients to report the following to their physician
Weight gain* more than 2 lb in 1 day or 5 lb* in 1 week
Edema* of the feet or ankles
Shortness of breath*
Excessive fatigue* or weakness*
Syncope* or dizziness*