What adrenergic receptor can activate all four subtypes?
epinephrine (Adrenalin)
Where is atropine naturally found?
1. Deadly Nightshade
2. Jimson Weed
Give some examples of anticholinergic medications...
1. diphenhydramine (Benadryl)
2. atropine
3. Benztripine
4. Tolterodine tartate
5. Scopolamine
Name some adverse effects of albuterol...
1. tachycardia
2. nervous/restless
3. HTN
4. tremors
5. dysrhythmias
6. angina
What are nursing interventions for a patient who is post op (received anesthetics)?
1. monitor LOC
2. monitor VS (temp for malignant hyperthermia)
3. monitor urine output
4. use caution with analgesics
What is ketamine hydrochloride used for?
relaxes the body and causes amnesia
Which non-catecholamine medication is a bronchodilator that can treat bronchospasm in patients with asthma or COPD?
albuterol
What 2 medications are used to induce and maintain anesthesia?
1. midazolam (versed)
2. Propofol (diprivan)
Which anti epilepsy medication is known for having a lot of drug interactions?
Phenytoin (Dilantin)
What are some symptoms of a cholinergic crisis?
S: salivation
L: Lacrimation
U: Urination
D: defecation
What is the therapeutic level of Phenytoin (Dilantin)?
10-20 mcg/mL
What is the therapeutic range for Phenobarbital?
20-40 mcg/mL
What medication is used to treat petit mal (aka absence) seizures?
Clonazepam (Klonopin)
1. Terazosin
2. Doxazosin
3. Phentolamine
What are some examples of local anesthetics?
1. Procaine HCL (Novocain)
2. Lidocaine HCL (Xylocain)
What are some adverse effects of anticholinergic medications?
B: Blurred vision
U: Urinary retention
D: dry mouth (xerostomia)
C: Constipation
A: Anhidrosis (No sweating)
T: Tachycardia
What medication can be used as a rescue medication to treat patients' status epilepticus?
Diazepam (valium)
What can cause a cholinergic crisis?
High dose of muscarinic or cholinergic agonists
mushrooms
What 2 things should be done before starting a patient on Carbamazepine (Tegretol)?
1. obtain CBC
2. genetic testing
What medication can you use to treat Raynaud's/PVD?
Terazosin
What is the antidote for epinephrine?
Phentolamine
What is the antidote for cholinergic agonists such as Neostigmine?
Atropine
What is the antidote for Phenytoin (dilantin)?
Phentolamine
Which anti epilepsy drug is hepatotoxic and can cause pancreatitis?
Valproate (Depakote)
What happens if a patient taking Gabapentin (Neurontin) drinks alcohol or takes opioids?
It creates a high