Actions
Contraindications/ Drug- Drug Interactions
Nursing Considerations
Adverse Effects
Indications
100
Adrenergic Agonists are also referred to as this because of their action on the SNS?
What is Sympathomimetic.
100
There is an increased or decreased risk with TCA's and MAOI's for hypertensive crisis when taken with an adrenergic agonist.
What is increased risk.
100
True or false? Patient needs continuous EKG & BP monitoring when on Alpha Adrenergic Agonists
What is True
100
A patient is taking a adrenergic agonist, she complains of trouble walking up stairs without stopping to catch her breath, what is she suffering from?
What is dyspnea.
100
The number one indication for the use of adrenergic agonists is?
What is shock.
200
This is the neurotransmitter that reacts with the alpha and beta receptor sites to cause the flight/ fight response?
What is Norepinephrine.
200
What is defined as the systemic overload of catecholamines due to adrenal tumors?
What is Pheochromocytoma.
200
Why is it necessary for the nurse to double-check the drip rates and concentration of medications?
What is avoiding a medication error.
200
What are three of the five adverse effects associated with adrenergic agonists?
What is Tachycardia (Fast heart rate), Hypertension ( High blood pressure), Angina (chest pain), Palpitations (irregular heart beat), Dyspnea ( shortness of breath).
200
Name two of the five indications for adrenergic agonists other than shock.
What is heart failure, glaucoma, asthma, bronchospasm, and hypotensive states.
300
These receptor sites react with the neurotransmitter norepinephrine?
What is alpha/ beta adrenergic receptors.
300
What is the name of the serious dysrhythmia contraindicated with the use of adrenergic agonists?
What is Ventricular fibrillation.
300
A person is suffering from hypovolemic shock, what is your number one nursing responsibility?
What is adding volume (pumping fluids).
300
A patient comes into the ER, who is taking an adrenergic agonist and has asthma, what is the first thing you should check for?
What is ABC’s (Airways, Breathing, Circulation), mainly dyspnea!!
300
Because these drugs increase myocardial contractility without increasing oxygen demand of the cardiac muscle, they are indicated for this type of disease?
What is heart failure.
400
When the adrenergic agonists receptors in the heart are stimulated these two major actions occur as a result?
What is increased blood pressure and heart contractility.
400
What types of drugs react negatively with adrenergic agonists?
What is TCA's and MAOI's.
400
What does the nurse need to check is adequate on the patient before starting sympathomimetic drips?
What is preload.
400
A patient comes into the ER, the nurse looks over his history and notices he is taking Dobutamine. She takes his vitals and sees an increased heartrate, high blood pressure, and he is diapheretic. Patients states no chest pain. What is occurring with this patient?
What is overload of adrenergic agonists drugs.
400
Causing intraocular pressure to decrease, these drugs can be used for this indication?
What is glaucoma.
500
The actions of alpha/ beta adrenergic agonists cause this process in the body to occur in order for glucose to be stored so that it can be used as energy?
What is glycogenolysis.
500
What two vasoconstrictive disorders are mixed with caution with the use of adrenergic agonists? Hint: Ray P and intermittent claudication
What is Raynaud’s phenomenon and Peripheral Vascular Disease.
500
It is important for a patient on titrated drip to have a systolic blood pressure of 100. What is another nursing consideration in order to titrate this drip? (Hint: think pressure)
What is Mean Arterial Pressure above 60.
500
A patient comes in for shock and is put on an IV drip of dopamine, the nurse comes and notices the patient's IV site is red with black tissue. What adverse reaction has occurred?
What is extravasation.
500
Adrenergic agonists cause bronchi to dilate and cause an increase in rate and depth of respirations, making these drugs indicated for this disease?
What is asthma.