after eating peanuts, pt noted dyspneic, with stridor, tachycardic, hypotensive, passing out. what will you do?
Epinephrine 0.3 mg IM vastus lateralis
Blocks beta 1 and 2 (non/selective), asthma contraindication
Propranolol
Anti-cholinergic Treats invol. movement disorders
Benztropine
Bethanechol (cholinergic agonist)
contracts the bladder/ induce urination
The sympathetic and para-sypathetic Nervous system have ______ responses on the Body
Opposite
Beta 2 respiratory drug for emergencies
ALBUTEROL
Ophthalmic eye drop, txs. glaucoma
Timolol
Side effects, Anticholinergics
dry mouth, dilated pupils, constipation
pt. teaching: Timolol eye gtts.
apply pressure inner canthus 1-2 min
Sympathetic is ____ or ______ .
Fight or flight
Central acting Alpha 2, blker causes orthostatic hypotension in initial doses.
Clonidine 0.1 mg bid PO
relaxes urinary muscles and lowers BP
Prazosin
relaxes smooth muscles near the prostate to increase urine vol.
Tamsulosin
example of non-selective beta adrenergic blocker
Propranolol
Donepezil therapeutic use
Treats Alzheimer's dementia
MIMIC SYMPATHETIC RESPONSE
Adrenergic agonist drugs
Patient teaching= alpha blkers
stand slowly, first dose @nite. avoid ETOH, don't drive.
For symptomatic HR BELOW 60
Atropine
Metcloperamide does this
decrease the urge to vomit& speed up gastric emptying.
Rest and Digest is the _______ _____ _______.
Para-Sympathetic Nervous sys.
Beta 1 AND ALPHA 1 infusion, inotropic dose
DOPAMINE 5-10 mcg/kg/min IV infusion
Drugs that Oppose Fight or Flight
Adrenergic ANTagonist-Sympatholytics
for overactive bladder
Oxybutynin
popular Beta blker & safer for asthmatics
metaprolol
Discontinuing Clonidine abruptly will cause this
Rebound high blood pressure, h/a, tachycardia