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Clayton's Basic Pharmacology for Nurses Chapter 12 Exam Questions And Answers
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Adrenergic Agents Classes - correct answer ✅catecholamines and noncatecholamines Adrenergic PreMedication Assessment - correct answer ✅Obtain baseline vital signs Patients who are more susceptible to adrenergic agents - correct answer ✅those with impaired hepatic function, thyroid disease, hypertension and heart disease. Patients with diabetes mellitus may also have an increased frequency of episodes of hyperglycemia Cardiovascular Common Adverse Effects of Adrenergic Agents - correct answer ✅-Palpitations -Tachycardia -skin flushing -dizziness -tremors -Orthostatic Hypotension
Serious Adverse Effects of Adrenergic Agents - correct answer ✅cardiovascular - dysrhythmias, chest pains, severe hypotension, hypertension, anginal pain - discontinue therapy immediately. GI - nausea, vomitting - notify healthcare provider Agents that may increase therapeutic and toxic effects of Adrenergic Agents - correct answer ✅-Monoamine oxidase inhibitors (phenelzine, tranyylcypromine -tricyclic antidepressants (amitriptyline, imipramine) -atropine and halothane anesthesia -OTC meds (cold remedies, appetite suppressants) monitor patients for tachycardia, serious dysrhythmias, hypotension, hypertension and chest pain. Agents that inhibit therapeutic activity of Adrenergic Agents - correct answer ✅-concurrent use of beta-adrenergic agents (propranolol, nadolol, timolol, pindolol, atenolol, metoprolol) -alpha-adrenergic blocking agents (phenoxybenzamine, phentolamine)
albuterol clinical use - correct answer ✅asthma, emphysema arformoterol brand name - correct answer ✅Brovana arformoterol availability - correct answer ✅nebulizer: 15 mcg/2mL in 2mL vials arformoterol adrenergic receptor - correct answer ✅Beta- arformoterol action - correct answer ✅bronchodilator arformoterol clinical uses - correct answer ✅emphysema chronic bronchitis
dobutamine (HIGH ALERT MEDICATION) availability - correct answer ✅IV: 1mg/ml (250 ml); 2mg/ml (250 ml); 4mg/ml (250ml), 12.5 mg/ml in 250mg/20ml vial; 500 mg/40ml vial dobutamine adrenergic receptor - correct answer ✅Beta- dobutamine action - correct answer ✅cardiac stimulant dobutamine (clinical use) - correct answer ✅intropic agent dopamine (HIGH ALERT MED) availability - correct answer ✅IV: 40, 80, 160 mg/ml in 5-, 10 ml ampules; 200, 400, and 800 mg in D5W (various volumes available) dopamine adrenergic receptors - correct answer ✅Alpha and Beta-
epinephrine (HIGH ALERT MED) Brand name - correct answer ✅Adrenalin epinephrine availability - correct answer ✅IV: 1: 1000 in 1ml ampules; 1:10,000 in 10 ml prefilled syringes epinephrine adrenergic receptors - correct answer ✅Alpha and Beta epinephrine action - correct answer ✅allergic reactions, vasoconstrictor, bronchodilator, cardiac stimulant epinephrine clinical uses - correct answer ✅anaphylaxis, cardiac arrest, topical vasoconstrictor formoterol Brand name - correct answer ✅Perforomist Oxese (Canada)
formoterol availability - correct answer ✅Nebulizer: 20mcg/2ml in 2ml container formoterol adrenergic receptors - correct answer ✅Beta- formoterol action - correct answer ✅bronchodilator formoterol clinical use - correct answer ✅asthma, emphysema, chronic bronchitis indacaterol brand name - correct answer ✅Arcapta Neohaler indacaterol availability - correct answer ✅capsule for inhalation: 75mcg indacaterol adrenergic receptors - correct answer ✅Beta-
isoproterenol clinical uses - correct answer ✅shock, digitalis toxicity, bronchospasm metaproterenol availability - correct answer ✅tablets: 10 and 20 mg syrup: 10mg/5ml metaproterenol adrenergic receptor - correct answer ✅Beta- metaproterenol action - correct answer ✅bronchodilator metaproterenol clinical use - correct answer ✅bronchospasm norepinephrine (HIGH ALERT MED) brand name - correct answer ✅Levophed
norepinephrine availability - correct answer ✅IV: 1mg/ml in 4ml ampules norepinephrine adrenergic receptor - correct answer ✅alpha 1 norepinephrine action - correct answer ✅vasoconstrictor norepinephrine use - correct answer ✅shock, hypotension phenylephrine availability - correct answer ✅subcut, IM, IV: 10mg/ml in 1ml ampules and 5 ml vials Ophthalmic drops: 2.5%, 10% nasal solutions: 0.25%, 0.5%, 1% tablets: 10 mg syrup: 2.5mg/5ml
salmeterol action - correct answer ✅bronchodilator salmeterol use - correct answer ✅asthma, emphysema, chronic bronchitis terbutaline availability - correct answer ✅tablets: 2.5, 5mg subcut 1mg/ml in 1ml ampules terbutaline adrenergic receptor - correct answer ✅beta- terbutaline action - correct answer ✅bronchodilator terbutaline use - correct answer ✅emphysema, asthma
Beta-adrenergic blockers are - correct answer ✅used extensively for post-myocardial infarction Alpha blockers are used - correct answer ✅to treat hypertension Beta-blockers should be used cautiously in - correct answer ✅patients with diabetes and those who are susceptible to hypoglycemia Nonselective beta blockers should be used with extreme caution in
correct answer ✅patients with respiratory conditions such as bronchitis, emphysema, asthma, or allergic rhinitis Premedication Assessment before the use of Beta-Adrenergic Blocking Agents - correct answer ✅baseline vitals
acebutolol availability - correct answer ✅capsules: 200, 400 mg acebutolol uses - correct answer ✅hypertension, ventricular dysrhythmias acebutolol dosage range - correct answer ✅PO: initial 400 mg daily; maintenance: 600- 1200mg daily atenolol brand - correct answer ✅Tenormin atenolol availability - correct answer ✅tablets: 25,50,100 mg atenolol clinical uses - correct answer ✅hypertension angina pectoris after myocardial infarction
atenolol dosage range - correct answer ✅PO: initial, 50 mg daily; maintenance less than 200 mg daily betaxolol availability - correct answer ✅tablets: 10,20 mg betaxolol uses - correct answer ✅hypertension betaxolol dosage - correct answer ✅PO: initial 10 mg daily maintenance 20 mg daily bisoprolol brand - correct answer ✅PMS-Bisoprolol bisprolol availability - correct answer ✅tablets: 5, 10 mg
ER: 10mg/day esmolol (HIGH ALERT MED) brand - correct answer ✅Brevibloc esmolol availability - correct answer ✅injection: 10mg/ml in 10 ml ampules; 10mg/ml in 250ml bag; 20mg/ml in 100 ml bag esmolol usage - correct answer ✅supra ventricular tachycardia; hypertension esmolol dosage - correct answer ✅IV: initial 500mcg/kg/min for 1 min followed by 50mcg/kg/min for 4 min then adjusted to patients needs labetalol brand - correct answer ✅Trandate labetalol availability - correct answer ✅tablets: 100,200,300 mg
injection: 5mg/ml in 4,20,40ml vials labetalol usage - correct answer ✅hypertension labetalol dosage - correct answer ✅PO: initial: 100mg/bid; maintenance less than 2400mg/daily metoprolol brand - correct answer ✅Lopressor, Toprol XL metaprolol availability - correct answer ✅tablets: 25,37.5,50,100 mg injection: 1mg/ml in 5ml ampules metaprolol usage - correct answer ✅hypertension, myocardial infarction, angina pectoris, heart failure