clinical pharm set3

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clinical pharm set3
2013-01-30 17:39:19
clinical pharm

this is for quiz 4
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  1. Terbutaline is a ___ agonist
  2. Terbutaline is commonly used to prevent what?
    premature parturition
  3. where do calcium blockers occur
    in uterine muscles,  which inhibits uterine contractions
  4. name the two alpha-1 blockers
    • Doxa`zosin (cardura)
    • tamsu`losin (flomax)
  5. alph-1 blockers doxazosin, and tamsulosin are primarily used to treat _____
    • benign prostate hypertrophy (BPH)
    • relaxes prostate muscle allowing urine to flow easier
    • these are alternatives to TURP "roto rooter"
  6. there are 3 adverse effects of alpha-1 blockers doxazosin, and tamsulosin which are 
    • 1. orthostatic (postural) hypotension taking pill  at bed time helps reduce this side effect
    • 2. nasal congestion
    • 3. inability to ejaculate "that sucks"
  7. doxazosin (cardura) was originally developed to treat what
  8. name the non specific alpha-1 and beta-1,2 blockers
    carvedilol (coreg)
  9. carvedilol (coreg)
    • causes vasodilation and slowing heart rate used in adjunct with CHF, and to prevent atrial fibrillation after surgery 
    • asthmatic patients or ones with respiratory difficulties should not use 
  10. name the nonspecific Beta blockers
  11. Propranolol (inderal) blocks _____ ____
    Beta-1 and Beta-2 receptors
  12. Propranolol (inderal) Beta-1 effects are
    decreases intensity and rate of heart contraction, which then decreases blood pressure
  13. Propranolol (inderal) Beta-2 blockage effects?
    bronchoconstriction individuals with asthma
  14. name the 6 clinical uses for propranolol
    • 1 hypertension
    • 2 angina
    • 3 cardiac tachycardia
    • 4 prophylactic prevention of migraines
    • 5 prophylactic stage fright
    • 6 reduce tissue damage after MI
  15. Metoprolol (lopressor) is a _____ specific 
  16. name thetwo most commonly used antihypertensive drugs
    • metoprolol and atenolol
    • Beta-1 specific blockers
  17. what do metoprolol and atenolol do
    • they reduce blood pressure by decreasing the intensity and rate of heart contraction
    • taken with ACE inhibitors to slow down left ventricle hypertrophy
  18. name the five adverse effects of all Beta blockers
    • 1 patients with heart problems have increased risk of heart block
    • 2 prevention of tachycardia, which hides signs of hypoglycemic episodes in diabetics
    • 3 tiredness or lethargy
    • 4 nightmares
    • 5 rebound tachycardia if not stopped
  19. long term use of atenolol increases the risk of 
    • type 2 diabetes
    • no longer first line drug
  20. Nevibolol (bystolic)
    a new Beta blocker causes vasodilation by stimulating nitric oxide release
  21. name the 2 ophthamologicaladrenergicdrugs for treating glaucoma
    • 1 timolol--blocks B-1 and B-2 in eye
    • 2 betalol--acts on B-1
  22. name the 3 anti-adrenergic drugs which act on the CNS
    • 1 reserpine
    • 2 clonidine
    • 3 cyclobenzaprine
  23. Reserpine was one of the first _______ drugs
  24. Reserpine caused
    major depression
  25. Clonidine blocks ____ in the ___, which inhibits_____ system activity and ______ heart rate
    receptors in the CNS, which inhibits sympathetic nervous system, and decreases HR
  26. Clonidine treats ______ and is the only one available in a _____
    hypertension, patch
  27. what are the 4 adverse effects of clonidine
    • 1 xerostomia (dry mouth)
    • 2 drowsiness and sedation
    • 3 teratogenic
    • 4 rebound hypertension