Module 3 Drugs Flashcards

1
Q

Epinephrine

A

nonselective (alpha and beta)

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2
Q

Epinephrine: Actions

A
  • increases vasoconstriction
  • promotes bronchodilation
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3
Q

Epinephrine: Uses (3)

A

treat anaphylaxis, bronchospasms, and cardiogenic shock

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4
Q

Epinephrine: Onset and peak

A

rapid

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5
Q

Epinephrine: Side effects (8)

A
  • nausea, vomiting
  • dizziness, headache
  • agitation, restlessness
  • hyper/hypo glycemia
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6
Q

Epinephrine: Adverse effects (4)

A
  • palpiltations, tachycardia
  • pumonary edema
  • dyspnea
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7
Q

Epinephrine: Drug interactions

A
  • beta blockers dec epinephrine action
  • digoxin causes cardiac dysrhythmia
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8
Q

Atenolol

A

selective beta1 antagonist

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9
Q

Atenolol: Actions

A

decreases HR and BP

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10
Q

Atenolol: Uses (3)

A

treat hypertension, angina (chest pain), and acute MI (heart attack)

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11
Q

Atenolol: Onset and peak

A

PO onset = 1 hr
peaks in 2-4 hrs

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12
Q

Atenolol: Side effects (3)

A
  • depression
  • dizziness
  • ED
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13
Q

Atenolol: Adverse reactions (3)

A
  • brady/tachy cardia
  • hypotension
  • life threatening: bronchospasm
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14
Q

Atenolol: Drug interactions (3)

A
  • inc absorption with anticholingenics
  • dec effect with non-steroidal anti-inflammatory drugs
  • inc risk of low blood glucose
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15
Q

Bethanechol

A

cholinergic; direct-acting parasympathomimetic

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16
Q

Bethanechol chloride: Action

A

contraction of bladder

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17
Q

Bethanechol chloride: Uses (2)

A

treats non-obstructive urinary retention and neurogenic bladder

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18
Q

Bethanechol chloride: Onset and peak

A

PO onset = 0.5-1.5 hrs
peaks 1-2 hrs

19
Q

Bethanechol chloride: Side effects (3)

A
  • hypotension
  • inc salivation
  • N/V/D
20
Q

Bethanechol chloride: Adverse effects (2)

A
  • bronchospasm
  • wheezing
21
Q

Bethanechol chloride: Contraindications (3)

A
  • bradycardia
  • asthma
  • urinary tract obstruction
22
Q

Bethanechol chloride: Teaching (2)

A
  • monitor for overdose
  • orthostatic hypotension
23
Q

Atropine

A

cholinergic antagonist; parasympatholytic

24
Q

Atropine: Action (3)

A
  • inc HR
  • pupil dilation
  • dec GI motility
25
Q

Atropine: Uses

A

reduce salivation and inc HR during bradycardia

26
Q

Atropine: Onset and peak

A

IV onset = immediate
peaks 5 min

27
Q

Atropine: Side effects (4)

A
  • dry mouth
  • dehydration
  • photophobia
  • urinary retention
28
Q

Atropine: Adverse effects (4)

A
  • tachycardia
  • life threatening: dysrhythmia, laryngospasm, coma
29
Q

Atropine: Contraindictions (3)

A
  • hypersensitivity
  • renal impairment
  • COPD
30
Q

Atropine: Teaching (2)

A
  • avoid w/ narrow angle glaucoma
  • do not drive
31
Q

Benzotropine

A

cholinergic antagonist

32
Q

Benztropine: Action (2)

A
  • blocks cholinergic (muscarinic) receptors
  • blocks dopamine reuptake
33
Q

Benztropine: Use

A

dec involuntary movements

34
Q

Benztropine: Side effects (4)

A
  • Dry mouth/skin
  • N/V
  • Drowsiness
  • Urinary retention
35
Q

Benztropine: Adverse effects (3)

A
  • tachycardia
  • life-threatening: ileus, coma
36
Q

Benztropine: Contraindictions (2)

A

dementia and children

37
Q

Benztropine: Teaching

A

do not drive

38
Q

Tolterodine tartrate

A

cholinergic antagonist

39
Q

Tolterodine tartrate: Action

A

blocks cholinergic receptors

40
Q

Tolterodine tartrate: Uses (3)

A

treats urinary frequency, urgency, and incontinence

41
Q

Tolterodine tartrate: Side effects (3)

A

Drowsiness
Dry mouth/eyes
Urinary retention

42
Q

Tolterodine tartrate: Adverse reactions (3)

A

Angioedema
Tachycardia
Life-threatening: Steven-Johnson

43
Q

Tolterodine tartrate: Contraindictions

A
  • urinary retention
  • glaucoma
44
Q

Tolterodine tartrate: Teaching

A

avoid grapefruit juice