Exam 3 Review

Lower Respiratory Tract

100

This is the drug of choice for acute bronchospasms

Epinephrine

200

This is the normal serum levels for Theophylline

10-20 mcg/ml

300

This substance increases the metabolism of xanthines (Theophylline) in the liver.

Sunstances in cigarettes (Nicotine)

400

Aspirin, Theophylline, Phenytoin, and Warfarin are contraindicated for which drug class?

Leukotriene Receptor Antagonists (Montelukast)

500

Central nervous system stimulation, gastrointestinal upset, cardiac arrhythmias, hypertension, angina, sweating, pallor, tachycardia and flushing are all adverse effects of this drug class

Sympathomimetics (albuterol; epinephrine)

Anesthetic Agents

100

The nurse will ensure the patient lays in this position following spinal anesthesia

Supine

200

This medication rapidly passes into the capillary system and is not metabolized

Nitrous Oxide

300

This drug is an amide and is broken down more slowly in the liver

Lidocaine

400

This medication is widely used for diagnostic tests and short procedures in children older than 3 years of age because of its rapid onset and metabolism and generally smooth recovery.

Propofol 

500

These are the 4 stages of Anesthesia and their actions

1. Analgesia Stage- Loss of pain sensation

2. Excitement Stage- Combative, SNS stimulation 

3. Surgical Stage- Relaxation of skeletal muscles, pupil dilations, loss of eye reflexes

4. Medullary Paralysis- Loss of respiratory and vasomotor center stimuli

NMJ Blocking Agents

100

A lack of this neurotransmitter can cause muscle weakness

Acetylcholine 

200

Narrow-Angle Glaucoma is a contraindication for this depolarizing NMJ Blocker

Succinylcholine

300

When this drug class is used concurrently with neuromuscular junction blockers, the patient is at increased risk of prolonged paralysis.

Calcium Channel Blockers

400

This drug class work by occupying the muscular cholinergic receptor sites and does not allow stimulation to occur 

NONdepolarizing NMJ Blockers

500

This agent can overcome excessive neuromuscular blockade caused by nondepolarizing NMJ blockers, thus reversing NMJ Blockers

Neostigmine (Cholinesterase Inhibitor)

Coagulation

100

This is the antidote for heparin

Protamine Sulfate

200

This lab value helps to determine therapeutic levels of Warfarin and therapeutic levels are between 2.0-3.0

INR

300

This is used to inhibit platelet aggregation, decreasing the formation of clots in narrowed or injured blood vessels like those found in peripheral artery disease

Clopidogrel

400

This medication causes a decrease in the production of vitamin K–dependent clotting factors in the liver

Warfarin

500

A nurse would expect to give drugs to control bleeding to clients with liver disease as well as this medical condition

Hemophilia 

Anything Goes!

100

This is the appropriate time to use your albuterol inhaler before exercise (if the patient is diagnosed with exercise-induced asthma)

30- 60 minutes

200

This is the antidote for warfarin

Vitamin K

300

This is the route of administrations for lung surfactants (beractant)

Intratracheal

400

The nurse would expect to assess the patient for this condition when giving a thrombolytic agent (Alteplase)

Hemorrhagic Stroke

500

This medication is associated with back and muscle pain, related to the initial muscle contraction reaction

Succinylcholine