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Pharm Chpt 16-20
Online quiz cpt 16-20
29
Pharmacology
Undergraduate 1
02/16/2013

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Term
Cholinergic acting drugs might be ordered for which of the following?
Definition
Alzheimer's disease
Myasthenia Gravis
Narrow angle glaucoma
Term
Alpha adrenergic blocking drugs are contraindicated for which of the following because of their conditions?
Definition
heart failure
acute MI and peripheral vascular disease
Term
Einephrine (Adrenalin) is contraindicated or used with caution in severe conditions. Which conditions contradicts administration of epinephrine?
Definition
hyperthyroidism, thyroid storm
narrow angle glaucoma
cardiac dysrhythmia
Term
Dugs that have both alpha & beta activity include?
Definition
Epinephrine (Adrenalin)
Pseudoephedrine (Sudafed)
Dopamine (Intropin)
Term
Pts. who have benign prostatis hypertrophy (enlarged prostate glands) will find relief from alpha 1 antagonist, which can also treat?
Definition
hypertension
Term
Propranolol, the prototype beta adrenergic antagonist, is selective for beta 2 receptors?
Definition
false (beta 1 receptors)
Term
Pt who is admitted with an acute myocardial infarction (heart attack) will need to be placed on a beta adrenergic blocking drug when he is discharged?
Definition
True
beta blocker help protect the heart from reinfarction & decreased mortality rates over several years. Pg 297
Term
Pt. has histry of hypertension & wears a Clonidine (Catapres) patch for long term blood pressure control. Catapres controls blood pressure by?
Definition
activating Alpha 2 receptors in the brain & causing decreased secretion of norepinephrne. pg. 296
Term
You would prescribe Propranolol (Inderal) to decrease heart rate, cardiac output and tremors to treat a pt that has?
Definition
thyroid store, hypertension, anxiety, and history of stroke.
Term
A pt. age 12 months, has bronchiolitis. He receives the prototype drug Epinephrine (Adrenalin). Which statement concerning Epinephrine is correct?
Definition
will relieve wheezing. pg.289
Term
A pt. who would benefit from anticholinergic drugs include someone with?
Definition
Parkinson's disease
overactive bladder from MS
COPD and tardive dyskinesia
Term
Pt. has not been able to urinate since her surgery to repair her fractured hip. Would she benefit from receiving Bethanechol(Urecholine)an cholinergic drug?
Definition
true pg.315
Term
Pt. has renal colic from kidney stones(extreme pain) could they benefit from the antisposmodic effects of an anticholinergic drug?
Definition
true
increse pressure in the urinary tract by stimulating detrusor muscle contraction and relaxation of urinary sphincter.

But contraindications for pt. w/ urinary obstructons or weakness in bladder walls my cause rutpute.
Term
Activation of the Beta 1 receptors mainly result iin dilation of bronchial smooth muscle?
Definition
true
Remember you have one heart and two lungs so beta 1 affects the heart, and beta 2 affects the lungs basically
Term
Activation of Alpha 1 receptors result in?
Definition
constriction of the smooth muscle of the blood vessels.
OR Vasoconstriction and increase blood pressure.
Term
Epinephrine is the drug of choice for treating the acute bronchospasm, hypotension and laryngeal edema of anaphylactic shock?
Definition
true
Term
Activation of the parasympathetic nervous system produces which of these effects? List all that apply
Definition
Constricts the pupils
Decrease heart rate(bradycardia)
Increases motility of the GI tract

more;
dilation of skin blood vessels
CONSTRICTION OF; bronci, urinary bladder smooth muscle, sketetal muscle.
release nitrus oxide from endothelium of blood vessels
Term
Atropine, the prototype anticholinergic drug, is the drug of choice or symptomatic bradycardia(slow heart rate casing the pt. to feel faint)?
pg 337
Definition
true
Term
Pt. takes eye drops for glaucoma that are beta adrenergic blocking agents. These cause a decrease in eye pressure by decreasing the production of aqueous humor, but they could possible aggravate his new onset of heart failure?
Definition
true
Term
Propranolol (Inderal)
Definition
Non selective beta adrenergic antagonist
Term
Atropine
Definition
Anticholinergic agent
Term
Neostigmine (Postigmin)
Definition
Cholinergic acting drug
Term
Pheylephrine (NeoSynephrine)
Definition
Alpha 1 agonist
Term
Prazocn (Minipress)
Definition
Alpha 1 antagonist
Term
During administratin of dopamine, a pt. complain of pain at the infusion site. The nurse should recognize?
Definition
The medication should be stopped, phentolamine should be infused, and the infusion ite should be changed.
Term
In hypotension and shock, drugs with alpha adrenergic activity (norepinephrin, phenylephrine)are ued for which purpose?
Definition
To increase peripheral vascular resistance(raise blood pressure)
Term
Dobutamine is a synthetc catecholamine developed to provide less vascular activity than dopamine. It acts mainly on Beta 1 receptors in the heart to do what?
Definition
increase the force of myocardial constraction
Term
Which drub stimulates Alpha, beta and dopaminergic receptors to help pts in shock?
Definition
Dopamine (Intropin)
Term
Which drug is used to dissolve a clot in a oronary artery during a mycardial infarction?
Definition
Heparin
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