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WorksheetsNUR354 Pharm II exam 1 pt 1
Total questions: 97
Worksheet time: 1hrs 1mins
the nervous system is divided into 2 categories ____ and _____
centra nervous system
peripheral nervous system
autonomic nervous system
somatic nervous system
which of the following is the receptor for the sympathetic NS?
adrenergic
cholinergic
muscarinic
acetylcholine
which of the following is a sympathetic response?
dilated pupils
bronchoconstriction
increase BG
increase BP
decrease salivation
what is the primary neurotransmitter for the parasympathetic NS?
norepinephrine
epinephrine
acetylcholine
dopamine
When there is excessive Ach in the body, cholinergic crisis could occur. Identify the ff s/s of cholinergic crisis.
sweating
lacrimation
urination
emesis
this enzyme helps get rid of acetylcholine
(a)
this enzyme primarily helps get rid of norepinephrine
(a)
which of the ff conditions do anticholinergics help treat?
asthma
motion sickness
bradypnea
IBS
multiple sclerosis
Identify Acetylcholinesterase inhibitors (pro-cholinergic).
Atropine
Donepezil
Ipratropium
Rivastigmine
Galantamine is a medication used for which condition?
urinary retention
myasthenia gravis
parkinson's disease
alzheimer's disease
this medication is a cholinergic receptor drug that treats URINARY RETENTION.
dicyclomine
benztropine
bethanechol
physostigmine
which anticholinergic drug helps with drying up secretions and promote bronchodilation in persons with asthma?
scopolamine
ipratropium
atropine
dicyclomine
which anticholinergic drug helps with motion sickness or nausea?
scopolamine
ipratropium
atropine
dicyclomine
which anticholinergic drug is indicated for bradycardia?
scopolamine
ipratropium
atropine
dicyclomine
Atropine is an anticholinergic drug that helps treat bradycardia, which of the ff are the other uses for atropine? (SATA)
cholinergic crisis
overactive bladder
ophthalmic procedures
irritable bowel syndrome
aside from irritable bowel syndrome, which other condition can anticholinergics be used for?
COPD
ENT procedures
OAB
myasthenia gravis
Benztropine is an anticholinergic drug given for which condition?
(a)
this is the reversal drug for too much anticholinergic activation with the use of atropine.
acetylcysteine
flumazenil
physostigmine
vitamin K
what is the primary neurotransmitter for the adrenergic NS?
norepinephrine
epinephrine
acetylcholine
dopamine
Norepinephrine, epinephrine, and dopamine can be given via peripheral IV line without concerns of extravasation.
true
false
name the 5 adrenergic receptor agonists
(a)
which adrenergic agonist has the effect of vasoconstriction?
alpha 1
alpha 2
beta 1
beta 2
beta 3
which adrenergic agonist has the effect of inhibiting norepinephrine?
alpha 1
alpha 2
beta 1
beta 2
beta 3
which adrenergic agonist has the effect of increasing HR and cardiac contractility?
alpha 1
alpha 2
beta 1
beta 2
beta 3
which adrenergic agonist has the effect of bronchodilation?
alpha 1
alpha 2
beta 1
beta 2
beta 3
which adrenergic agonist has the effect of relaxing the bladder muscle?
alpha 1
alpha 2
beta 1
beta 2
beta 3
this adrenergic agonist is given to activate alpha 2 receptors to initiate vasodilation. It is given for HTN and anxiety.
neosynephrine
clonidine
dobutamine
albuterol
mirabegron
this adrenergic agonist is given to activate beta 1 receptors to increase HR and cardiac contractility. It is given for heart failure.
neosynephrine
clonidine
dobutamine
albuterol
mirabegron
this adrenergic agonist is given to activate beta 2 receptors to promote bronchodilation. It is given for asthma, and has a side effect of tachycardia.
neosynephrine
clonidine
dobutamine
albuterol
mirabegron
this adrenergic agonist is given to activate beta 3 receptors to promote relaxation of the bladder muscle. It is given for overactive bladder.
neosynephrine
clonidine
dobutamine
albuterol
mirabegron
this adrenergic agonist is given to activate alpha 1 receptors to initiate vasoconstriction. It is given for allergic rhinitis.
neosynephrine
clonidine
dobutamine
albuterol
mirabegron
this drug class is given for both HTN and BPH. It has a primary side effect of orthostatic hypotension.
beta 1 antagonists
alpha 2 agonists
beta 1 agonists
alpha 1 antagonists
this drug class decreases the HR. It has the side effect of bronchoconstriction which may be contraindicated for pts with asthma and COPD.
beta 1 antagonists
alpha 2 agonists
beta 1 agonists
alpha 1 antagonists
What is the reversal drug for too much adrenergic stimulation?
insulin/glucoes
physostigmine
phentolamine
flumazenil
this condition is a tumor on the adrenal glands that causes massive amounts of norepi, epi, dopamine.
(a)
What are the two primary components of the CNS?
(a)
Adrenergic agonists are also the same as sympathomimetics
true
false
What is the advantage of lidocaine with epinephrine?
stops bleeding
systemic pain relief
lowers BP
speeds up healing
A patient who is receiving medications for Parkinson's disease notices his PD symptoms returning as his scheduled dose approaches. What is this condition called?
tapering effect
wearing off effect
dependency
adverse effects
which of the ff are included in the cardinal symptoms of parkinson's disease? SATA
tremors
stiffness
slow movement
difficulty in balance
Parkinson's disease is the lack of (insufficient level) of epinephrine.
true
false
which of these medications is the 1st line treatment for Parkinson's?
Benztropine
Levodopa-carbidopa
Apomorphine
Amantadine
Entacapone
what is important to remember when prescribing levodopa-carbidopa?
it is contraindicated when taking an MAOI
do not give with green leafy vegetables
do not take this medication on an empty stomach
contraindicated for pregnancy
OD of levodopa-carbidopa can be treated with?
phentolamine
physostigmine
pyridoxine
apomorphine
this medication is an anticholinergic that can treat Parkinson's and EPS.
apomorphine
amantadine
entacapone
benztropine
this medication is a dopamine agonist, and acts by activating dopamine receptors.
apomorphine
amantadine
entacapone
benztropine
This medication causes the release of dopamine from other parts of the body.
apomorphine
amantadine
entacapone
benztropine
this medication is an MAOB inhibitor that blocks the body from getting rid of dopamine (increasing dopamine levels).
apomorphine
amantadine
entacapone
benztropine
Which of the following is a CAM used to help improve mental cognition?
echinacea
gingko biloba
black cohosh
ginger
Alzheimer's disease is caused by increased levels of glutamate in the body due to intake resulting in brain cell death.
True
False
If you live up to 85, you are less likely to get Alzheimer's.
true
false
Which of the following medications is the 1st line treatment for AD?
memantine
topiramate
galantamine
levetiracetam
this medication acts by lowering glutamate levels in the body therefore lowering the rate of brain cell death.
rivastigmine
memantine
donepezil
galantamine
what is the mechanism of action of Ach inhibitors?
it prevents the body from getting of norepi, epi, dopamine
it prevents the reuptake of Ach levels
it speeds up the usage of Ach in the brain
it decreases the levels of Ach in the body
Aside from AD, what are other indications for Ach inhibitors? SATA
myopia
glaucoma
multiple sclerosis
myasthenia gravis
identify the types of multiple sclerosis. SATA
relapsing/remitting
degenerative relapsing
primary progressive
tertiary progressive
MS occurs due to the degeneration of myelin sheaths.
true
false
which of the ff is the 1st line treatment for MS?
interferon alfa
interferon beta
glatiramer
fingolimod
what are some common side effects of taking interferon beta? SATA
fever
chills
tremors
muscle spasms
what are some important education points for patients taking interferon beta?
do not take this med with ASA
avoid alcohol while on this med
avoid smoking while on this med
do not take this with immunosuppresants
which of the ff MS drugs has a mechanism of action that stops the degeneration of myelin sheaths?
interferon beta
glatiramer
fingolimod
none of the above
both interferon beta and glatiramer are available via PO and parenteral routes.
true
false
what is the MOA for fingolimod?
it stops the degeneration of myelin sheaths
it lower glutamate levels in the body
it suppresses symptoms of MS
it blocks the release of Ach
identify the causes of muscle spasms. SATA
med related
disease related
condition related
symptom related
what are some non-pharmacological treatments for muscle spasms? SATA
cupping
heat/cold
massage
PT
these medications are also called "muscle relaxants" and act by enabling GABA. SATA
lorazepam
baclofen
cyclobenzaprine
methocarbamol
since GABA is an inhibitory neurotransmitter, what are some side effects we should watch out for? SATA
palpitations
muscle weakness
drowsiness
increased RR
what is an important nursing consideration when giving a skeletal muscle relaxant?
do not take this on an empty stomach
do not take this with chemo drugs or immunosuppresants
do not take this with alcohol
avoid smoking while on this medication
this medication or drug class is commonly used "go-to" muscle relaxants.
non-opioid analgesics
skeletal muscle relaxants
benzodiazepines
clonidine
this medication also addresses muscle spasms but it's primary use is for HTN and/or anxiety.
clonidine
klonopin
metoprolol
lisinopril
which electrolyte is the most responsible for muscle contraction?
sodium
magnesium
calcium
potassium
this medication blocks calcium movement in the muscle, which results in relaxation of the muscle. it is indicated for spasticity.
Onabutulinum
Capsaicin
vecuronium
Dantrolene
dantrolene is known to cause toxicity on which organ?
brain
liver
kidneys
pancreas
which of the ff medications blocks the release of Ach (for muscle contraction) and has side effects that can occur days, hours, or weeks later.
Dantrolene
Onabutulinum
Capsaicin
succinylcholine
this is a CAM indicated for spasticity.
echinacea
gingko biloba
capsaicin
ginger
neuromuscular blockers or "paralytics" are drugs primarily used for sedation. What is an important nursing consideration for a patient receiving this type of medication?
give sedation and/or pain medication
give anxiolytics
give antiemetics
have intubation kit ready
which of the following paralytics is the most used for intubation?
vecuronium
pancuronium
succinylcholine
rocuronium
which group of neuromuscular blockers has the MOA that blocks action potential?
non-depolarizing paralytics
depolarizing paralytics
which of the ff are side effects of succinylcholine?
fasciculation
hypernatremia
hyperkalemia
shuffling gait
this is a life-threatening condition characterized by elevation of body temperature that can occur from administration of succinylcholine.
multiple sclerosis
malignant hyperthermia
malignant hypothermia
amyotrophic lateral sclerosis
which drug is given for the treatment of malignant hyperthermia?
rivastigmine
methocarbamol
dantrolene
onabotullinum A
Identify indications for onabotullinum A (Botox).
facial wrinkles
dystonia
hyperhidrosis
OAB
lazy eye
Vast majority of seizure meds are safe for pregnancy.
true
false
anti-seizure medications decreases the efficacy of OC.
true
false
what is the term used when seizures occur during pregnancy?
preeclampsia
eclampsia
what is the non-pharmacological intervention for seizures?
(a)
seizures occur when there is too much GABA in the brain
true
false
which of the ff drug classes for generalized seizures is the 1st line for neonatal seizures?
benzos
barbiturates
muscle relaxants
hydantoins
This is the 1st line drug for someone who is ACTIVELY seizing.
phenytoin
phenobarbital
cyclobenzaprine
midazolam
identify the 1st three go-to meds for seizures under benzodiazepines
alprazolam
midazolam
clonazepam
diazepam
lorazepam
which of the ff are some indications for prescribing benzodiazepines?
seizures
insomnia
muscle spasms
spasticity
identify the side effects you need to watch out for when giving benzodiazepines.
htn
low RR
generalized weakness
hypotension
which of the ff is the reversal agent for benzodiazepines?
naloxone
acetylcysteine
flumazenil
vitamin K
this drug works by inhibiting sodium movement which inhibits the brain from doing its job
carbamazepine
lamotrigine
levetiracetam
phenytoin
hydantoins are very safe to use and have no known side effects.
true
false
this is one of the most commonly used seizure meds in the US. it is also used off label for anxiety.
phenytoin
levetiracetam
valproic acid
ethosuximide
all of the following are given for generalized seizures except:
Carbamazepine
ethosuximide
clonazepam
phenobarbital
