EXAM 1 critical.txt

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Author:
TomWruble
ID:
157679
Filename:
EXAM 1 critical.txt
Updated:
2012-06-07 08:45:54
Tags:
nur119 exam1
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Critical points
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  1. Actions of

    Parasympathetic Depressant

    Parasympatholytics

    Anticholinergics

    Cholinergic Antagonist

    Antispasmotics
    • Increase Pulse rate
    • Decrease mucous secretions
    • Decrease Gl motility
    • Increase urinary retention
    • Dilate pupils
  2. Actions of:

    Parasympathetic Stimulants

    Parasympathomimetic

    Cholinergic

    Cholinergic Agonist
    • ↓ BP
    • ↓ Pulse rate
    • Dilate blood vessels
    • ↓ Heart rate
    • ↑ secretions of Gl, lung, skin
    • ↑ Gl movement
    • Bladder contraction
    • Skeletal contraction
    • Constrict bionchi
    • Constrict pupils
  3. Actions of:

    Sympathetic Depressant

    Sympatholytics

    Antiadrenergic

    Adrenergic Blockers
    • ↓ Pulse rate
    • ↓ BP
    • Constrict Bronchioles
    • Constrict pupils
  4. Actions of:

    Sympathetic Stimulants

    Sympathomimetic

    Adrenergic

    Adrenergic Agonist
    • ↑ BP
    • ↑ pulse rate
    • ↑ blood flow/fight or fnght
    • ↑ metabolism
    • ↑ breakdown of glycogen
    • ↑ increase blood sugar
    • ↑ mental activity
    • ↑ muscle strength
    • ↑ blood coagulation
    • ↑ respiratory rate
    • Pupil dilates to help with vision
  5. Stimulation of the parasympathetic causes:
    1. Dilate blood vessels

    2. ↑ secretions - GI, lung, skin

    3. ↓ HR

    4. ↑ GI

    5. No blood sugar effects

    6. No chg mental activity

    7. No chg muscle strength

    8. No chg blood coagulation

    9. Bronchi constriction

    10. Pupil constriction

    11. Bladder contraction

    12. Skeletal contraction
  6. Stimulation of sympathetic causes:
    1. ↑ BP/cardiac output

    2. ↑ blood flow for "fight or flight"

    3. ↑ metabolism and use of O2

    4. ↑ breakdown of glycogen

    5. ↑ blood sugar

    6. ↑ mental activity

    7. ↑ muscle strength

    8. Blood coagulation increased

    9. ↑ respiratory rate

    10. Pupil dilation to help vision
  7. naloxone HCl (Narcan) Dosage
    • IV: 0.4 to 2 mg
    • may repeat q2-3min
    • max 10mg
  8. flumazenil (Romazicon) Dosage
    • IV: 0.2 mg over 30 sec
    • may repeat with 0.3 mg in 30 sec
    • max: 3 mg total dose

    • Benzodiazepine Antagonists
    • (OD antidote)
  9. Morphine Dosage
    PO: 10 to 30 mg q4h PRN

    SR: 15 to 30 mg, q8-12h PRN

    IV/IM/subQ: 2.5 to 15 mg q2 to 6h PRN

    Epidural: 2 to 10 mg over 24h


    SR=sustained release
  10. Tylenol Dosage
    PO: 325 to 650 mg q4-6h PRN; max: 4000 mg/d

    Rectal supp: 650 mg q.i.d.
  11. ASA Dosage
    • Analgesic:
    • PO: 325 to 650 mg q4h prn; max: 4 g/d

    • TIA and thromboemboliccondition:
    • PO: 81 to 325 mg/d

    • Arthritis:
    • PO: 3.6 to 5.4 g/d in divided doses

    TDM: 15 to 30 mg/dL; 150 to 300 mcg/mL
  12. OD of Tricyclic antidepressents?
    • Symptoms:
    • - CNS depression
    • - Cardiovascular collapse

    • Tx:
    • - Airway
    • - Charcoal
    • - Fluids
    • - EKG monitoring
    • - Antiseizure meds
  13. OD of MAO antidepressents?
    • Symptoms:
    • - Adrenergic

    • Tx:
    • - Diuretics
    • - Acidify urine
    • - Hemodialysis
  14. OD of the antidepressents Welbutrin?
    • Symptoms:
    • - Agitation
    • - Seizures

    • Tx:
    • - Supportive
    • - Charcoal
    • - anti-seizure meds
  15. OD of the antidepressents lithium?
    • Symptoms:
    • - Altered levels of consciousness
    • - Hallucinations
    • - Convulsions (seizure)
    • - Diminished urine output
    • - Low Na+ (Na/K pump shot)
    • - Oliguria
    • - Coma
    • - Death

    • Tx:
    • - Supportive
    • - Fluid and electrolyte correction
    • - Hemodialysis
  16. OD of SSRI antidepressents...
    • Symptoms:
    • - CNS stimulation

    • Tx:
    • - Airway & charcoal

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