Test 2 drugs

Question 1

What receptors does Epi work on

Answer 1

Alpha 1-vasoconstriction-bleeding, mucus, increase BP, slows absorbtion of anesthesia
beta 1-increases heart rate and contractility
beta 2-lungs-vasoconstricts

Question 2

Side Effects of Epi

Answer 2

• alpha 1-hypertensive crisis

- beta 1-dysrythmias

Question 3

how should epi be asministered?

Answer 3

Iv pump

Question 4

Epi interactions

Answer 4

do not use with amoi or tricyclics these can potentiate epi effects
proranolo can be used to treat chest ain

Question 5

Epi toxicity use

Answer 5

phentolamine

Question 6

Atropine is an ________.

Answer 6

anticholinergic agent

Question 7

Atropine is used to in short and long…….

Answer 7

to move some one away from the parasympathetic side and put them in a fight or flight mode (sympathetic)

Question 8

Verapamil is a ___________

Answer 8

calcium channel blocker

Question 9

Verapamil is used to_______in periphery and _________ in heart.

Answer 9

vasodilate in the blood vessels (vasodilation in pheriphery)

derease force and rate of contractility in heart

Question 10

Verapil and the heart treats?

Answer 10

HTN, dysrythmias, angina

Question 11

side effects of verapamil include

Answer 11

orthostatic hypotension
peripheral edema
constipation
brady
dysrythmias

Question 12

Amiodarone is a ____________

Answer 12

Potassium channel blocker

Question 13

Amiodarone is used to

Answer 13

prolong the action potential and refractory period of the heart

Question 14

Amiodarone side effects are

Answer 14

hypotension
Gi dist
sinus brasy
pulmonary toxicity

Question 15

metoprolol is a ________

Answer 15

beta blocker

Question 16

Metropolol is used to

Answer 16

to reduce tachycardia

Question 17

SE of metropolol

Answer 17

brady
decreased cardiac output
AV block
ortho hypo
do not stop taking abruptly !!!
sensitivity -over time

Question 18

Warfarin is an

Answer 18

anticoagulant

Question 19

what does warfarin(Coumadin do)

Answer 19

antagonizes vitamin K-stops coagulation

used to treat thrombus formation

Question 20

Coumadin Cautions!!

Answer 20

Do not eat food high in vitamin K

Question 21

Heparin is an

Answer 21

anticoagulant

Question 22

Heparin administration

Answer 22

sub q or IV

Question 23

What do we need to be careful with in Heparin?

Answer 23

HIT
heparin induced thrombocytopenia
platlettes will be destroyed
caution if platelettes go below 100,000

Question 24

What is the antidote for Heparin

Answer 24

protamine sulfate

Question 25

Enoxaparin(Lovenox) is a

Answer 25

Low Molecular weight heparin

Question 26

Lovenox administration is

Answer 26

sub q

Question 27

Side effects of Heparin

Answer 27

hemmorage | throbocytopenia

Question 28

Lovenox monitoring requirements

Answer 28

none safe to give at home

Question 29

Narcan is an

Answer 29

opioid antagonist | --competes for opioid receptors

Question 30

side effects of Narcan

Answer 30

tachycardia tachypnea pulmonary edema

Question 31

Administration of narcan

Answer 31

IV sub Q IM

Question 32

Romazicon is an

Answer 32

antidoe for Benzos

Question 33

Propofol is an

Answer 33

intravenous anesthetic

Question 34

Propofol caution !!

Answer 34

bacterial infections can cause respiatory depression can cause pain at injection site

Question 35

Phenergan is an

Answer 35

antiemetic

Question 36

What precautions should we take with phenergan

Answer 36

``` precaution with IV phenergan can cause tissue necrosis slow dilute give close to bag stop if it hurts ```

Question 37

Zofran is an

Answer 37

-serotonin antagonist /anitemetic

Question 38

Zofran is mainly used for

Answer 38

emesis related to chemo, radiation, postop recovery

Question 39

Side effects for phenergan

Answer 39

EPS HYPO Sedation Anticholinrgic

Question 40

side effects for Zofran

Answer 40

Headache diarrhea dizziness