Quiz 2 Concepts Flashcards
metoprolol
beta blocker for hypertension
-decreases bronchodilation, cardiac contractility, blood sugar
-selective for receptors that decrease HR and BP
-less likely to cause bronchospasm so asthmatic pts. can take it
albuterol
-bronchodilator
-alpha and beta adrenergic agonists
-treats asthma
What can occur in high doses or overuse of albuterol?
the beta 2 agents being overused can beta 1 receptors and increase heart rate
What does continuous use of nasal sprays with adrenergic agonists cause?
rebound nasal congestion
-do not use more than 3 days
-spray while upright
-do not use with OTC meds
direct acting cholinergic agonists
selective for muscuranic (parasympathetic) receptors
-nonspecific bc muscarinic receptors are located in different sites stimulating various organs
bethanechol
cholinergic agonists
direct acting
increase GI tract tone and peristalsis
adverse effects include headache, bradycardia, bronchoconstriction, abdominal cramps
atropine
anticholinergic agonists
used preoperatively to decrease saliva and increase HR
side effects include urinary retention, dehydration, palpitations, constipation
What are some drugs that treat Alzheimers?
rivastigmine
memantine
galantamine
donepezil
What test is helpful in diagnosing ADHD?
EEG
What should be avoided when taking adderall for ADHD?
caffeine and pseudoephedrine
methlyphenidate
Ritalin
treat ADHD and narcolepsy
can affect food absorption
can cause growth suppression so height and weight should be monitored
can increase BP
check with provider before giving OTC meds w/ methylphenidate
What stage of sleep does vivid dreams occur?
REM
How should you promote sleep in pts?
establish a routine of waking and sleeping at the same time
Who should you use a bed alarm for?
older patients and younger pts receiving a hypnotic for the first time
What can be used to relieve frequent nighttime awakening?
Tylenol PM bc it contains acetaminophen and diphenhydramine
When should you adjust anesthetics?
if the pt drinks, is pregnant, or is obese
anticonvulsants
prevent seizures
taken throughout lifetime
stopping meds can lead to recurrence of seizures
inhibit vitamin K in pregnancy
epilepsy
occurs in children w/ 1 or more febrile seizures
How can you determine the cause of decreased drug effects?
ask about medication adherence
assess serum level
Parkinsons
caused by imbalance of dopamine and acetylcholine bc dopaminergic neurons are degenerating
-is progressive but not a normal part of aging
Alzheimers
can result from decreased ACh degeneration of cholinergic neurons
carbidopa-levodopa
can cause orthostatic hypertension so be careful getting out of be
dark urine and perspiration is normal
-used to treat parkinsons
rivastigmine
increases fall risk
take 2x daily on empty stomach
myasthenia gravis
causes fatigue and muscular weakness
neostigmine
must be given on time for myasthenia crisis