Functions
Stimulate the Sympathetic Nervous System
What are Adrenergic Agonists?
Receptor sites located in the heart, bronchi, GI tract, urinary bladder, ciliary eye muscles
Anaphylaxis, bronchospasms. cardiac arrest
What is Epinephrine?
PTT
What is the lab for heparin?
Can be given subq or IV
Frequent labs needed
Protamine sulfate=antidote
I have the contraindications of Asthma and COPD
What are Beta blockers?
Teach pt how to take BP, HR, and record
side effects: drowsy, dizzy, HA,adverse: orthostatic hypotension, bradycardia, hypotension
check for parameters: hold if HR below 60 and check for BP (systolic)
Teaching: Take at same time every day, monitor BP and HR at home and record, get up slowly-think safety
I am an anticholinergic for Parkinson's Disease
What is Benztropine?
PARK THE BENZ!
tremors will be less
Increase in cardiac contractility, vasoconstriction
What is the effect of the alpha 1 receptor site being stimulated?
Also dilates pupils, relaxes the bladder, and contracts the prostrate
Bethanechol chloride
What is to treat urinary retention?
I increase blood pressure, dilate pupils, relax the bladder, and contract the prostrate.
What is the effect of an adrenergic agonist on the Alpha 1 receptor?
I am the cholinergic agonist that will help your patient void.
What is Bethanechol?
therapeutic use is urinary retention
Remember that cholinergic agonists increase secretions.
Avoid in those with respiratory compromiseMonitor VS-Hypotension and tachycardia are possible
monitor I & O, take on an empty stomach
I am the med that may improve cognition and behavior plus improve ability to engage in daily activities
What is Donepezil? therapeutic use Alzheimer disease
Side effects/adverse reactions: GI upset, HA, dizzy, drowsy, orthostatic hypotension, bradycardia, syncope, seizures
watch VS
maintain consistency in care, monitor safety, med will not cure disease
Increases Cardiac contractility, heart rate
What is the effect of the adrenergic agonists at the Beta 1 receptor site?
one heart
V-fib
What is Amiodarone?
K channel blocker
Monitor breathing, must be on a cardiac monitor, monitor VS
I increase cardiac contractility and increase heart rate when stimulated.
What is the effect of an adrenergic agonist on the Beta 1 receptor?
I am a cholinergic agonist used for Glaucoma
What is Pilocarpine?
decreases pressure in the eye
don't contaminate the bottle
think safety due to blurry eyes after use
If you have a muscle spasm I can help
What is Cyclobenzaprine?
class: skeletal muscle relaxant
side/adverse effects: DROWSINESS, anticholinergic effects, HA, confusion
do not use if glaucoma
short term use: less than 3 weeks-taper the last week
no booze
Bronchodilation
What is the effect of the adrenergic agonists at the Beta 2 receptor site?
2 lungs
High cholesterol
What are statins? (Rosuvastatin)
Teaching: diet low fat/low cholesterol
Labs-liver and cholesterol
Do not stop abruptly, take at bedtime
report muscle tenderness/pain to MD immediately
GI upset, halos, bradycardia
What are signs of Digoxin Toxicity?
class: cardiac glycoside
monitor digoxin levels, monitor potassium levels= low K=high dig levels
no antacids at the same time=decrease absorption
take apical pulse for one full minute=below 60 hold
teach pt to take HR at home, take med at the same time every day, no OTC meds unless ok by MD
I am the class of meds that dry up secretions
What are anticholinergics? ex. Atropine
side effects/adverse: dry mouth, can't sweat, constipation, urinary retention, HTN, palpitationscontraindications: glaucoma, tachycardia
I am an Acetylcholinesterase inhibitor used for Myasthenia Gravis
What is Pyridostigmine?
used to increase muscle strength
side/adverse effects: GI, increased salivation, sweating, tearing, bradycardia, hypertension
Monitor VS, take on an empty stomach, do not skip doses
I stimulate the alpha 1, beta 1, and beta 2
What is Epinephrine?
alpha 1 increases BP
beta 1 increases HR
beta 2 bronchodilation
Cilostazol
What is peripheral vascular disease?
S/S: pain, pallor, coolness, numbness
vasodilator/inhibits platelet aggregation
Side effects: dizziness, HA, GI distress, peripheral edema
Adverse:Tachycardia, palpitations, possible bleeding, orthostatic hypotension
Get vitals, no smoking or grapefruit juice, take with food
I am the non-selective medication that stimulates the alpha 1, beta 1, and beta 2.
What is Epinephrine?
Uses: anaphylaxis, bronchospasm
side effects/adverse:
GI, HA, agitation
hyperglycemia, tachycardia, hypertension, palpitations
WATCH VITAL SIGNS
I am a combo medication used for Parkinson's Disease
What is Carbidopa-Levodopa?
Pt teaching: low protein diet, urine/sweat may turn brown, move slowly due to orthostatic hypotension,take on time, take on an empty stomach
I am your antianginal/nitrate for chest pain
What is Nitroglycerin? (vasodilator)
Side effects/adverse: HA, flushing, dizziness, syncope,hypotension
tylenol for HA, 1-3 minutes to work SL, if no improvement or worse after 5 minutes call 911, monitor VS, assess pain level