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NUR203 Exam2 Drugs
Pharmacology Exam2 Drugs
24
Nursing
Undergraduate 3
04/01/2012

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Term
bethanechol
(Class? Routes? Trade names? Use?)
Definition
- Muscarinic Receptor Agonist
- PO or SQ (attached to an ester so it can get to the site of action w/out being broken down by AChE)
- Urecholine, Duvoid, Urebeth
- to relieve post-op urinary retention
Term
cevimeline
(Class? Trade name? Use?)
Definition
- Muscarinic Receptor Agonist
- Evoxac
- relieves dry mouth
Term
carbachol ophthalmic
(Class? Trade name? Use?)
Definition
- Muscarinic Receptor Agonist
- Isopto Carbachol
- used to cause miosis (pupil contraction) for surgery and glaucoma (fast acting >> quick reduction of intraocular pressure)
Term
pilocarpine opthalamic
(Class? Trade names? Use?)
Definition
- Muscarinic Receptor Agonist
- Isopto Carpine, Pilopine HS
- used to cause miosis (pupil contraction) for surgery and glaucoma (fast acting >> quick reduction of intraocular pressure
Term
neostigmine
(Class? Routes? Trade name? Use?)
Definition
- AChE Inhibitor
- PO, SQ, IM
- Prostigmin
- Myasthenia Gravis, post-op urinary retention, post-op abdominal distention
Term
physostigmine
(Class? Routes? Trade Name? Use?)
Definition
- AChE Inhibitor
- IV, Topical Ocular, IM
- Antilirium
- Antidote for curare (muscle relaxant), Glaucoma
** Reversal of CNS effects of antimuscarinic drugs i.e. atropine
Term
pyridostigmine
(Class? Routes? Trade names? Use?)
Definition
- AChE Inhibitors
- Oral, IM, IV
- NAPPS (commonly used), Mestinon
- Myasthenia Gravis, Antidote for curare
Term
edrophonium
(Class? Route? Trade name? Use?)
Definition
- AChE Inhibitor
- IV
- Enlon
- Myasthenia Gravis (shortest acting of MG drugs)
** Given to determine if pt has Myasthenia Gravis (administer dose, if it >> increased muscle tone conclude pt has MG)
Term
memantine
(Class? Trade name? Use?)
Definition
- AChE Inhibitor
- Namenda
- Alzheimer's Tx
Term
galantamine
(Class? Trade name? Use?)
Definition
- AChE Inhibitor
- Razadyne, Razadyne ER
- Alzheimer's Tx
Term
rivastigmine
(Class? Trade name? Use?)
Definition
- AChE Inhibitor (crosses bb barrier)
- Exelon
- Alzheimer's Tx
Term
donepezil
(Class? Trade name? Use?)
Definition
- AChE Inhibitor
- Aricept
- Alzheimer's Tx
Term
tacrine
(Class? Route? Trade name? Use?)
Definition
- AChE Inhibitor (crosses bb barrier)
- oral (low bio availability food may slow its effects)
- Cognex
- Mild to moderate DAT (most often Rx), AIDS related tardive dyskinesias, other forms of dementia
**Not prescribed if the pt has liver failure
Term
atropine
(Class? Route? Trade name? Use?)
Definition
- Antimuscarinic (ACh Inhibitor)
- SQ,IM,IV
- AtroPen
- Counteracts AChE Inhibitors
Term
epinephrine
(Class? Routes? Trade names? Use?)
Definition
- Direct Acting Sympathomimetic Non-selective
- SQ, IM, IV (catecholamine cannot give orally)
- Epipen, Adrenaclick
- CV (to increase heart rate), anaphylaxis
Term
norepinephrine
(Class? Route? Trade name? Use?)
Definition
- Direct Acting Sympathomimetic Non-selective (Alpha1 and Beta1)
- IV (catecholamine cannot give orally)
- Levophed (leave 'em dead Levophed)
- Unopposed vasoconstriction for pts in failure (b/c unopposed will slow the heart rate in response to big wall of blood)
Term
phenylephrine
(Class? Route? Trade name? Use?)
Definition
- Direct Acting Sympathomimetic Alpha Agonist
- can be give PO (noncatcholamine)
- Neosynephrine
- nasal spray and sudafed to dry up, post-surgical tachychardia pts (unopposed alpha effect >> bracycardia; ABSOLUTELY contraindicated in infants)
Term
isoproterenol
(Class? Route? Trade name? Use?)
Definition
- Dircect Acting Sympathomimetic Beta Agonist Non-selective
- IV
- Isuprel (rarely used)
- Inhaler, respiratory effects, pt crashing and atropine max dose has been reached
- Beta1 effects make its Beta2 effects less friendly
Term
Dobutamine
(Class? Route? Use?)
Definition
- Direct Acting Sympathomimetic Selective Beta1
- IV (synthetic catecholamine cannot give orally)
- Increase CO and renal blood flow
Term
dopamine
(Class? Route? Use?)
Definition
- Direct Acting Sympathomimetic Selective Beta1 (in high doses become non-selective, may have some Beta2 effect)
- IV (catecholamine cannot give orally)
- Increase CO and renal blood flow
Term
albuterol
(Class? Route? Trade name? Use?)
Definition
- Direct Acting Sympathomimetic Selective Beta 2
- Inhaler
- VoSpire ER
- asthma, emphysema
Term
terbutaline
(Class? Use?)
Definition
- Direct Acting Sympathomimetic Selective Beta 2
- uterine relaxant
Term
ritodrine
(Class? Use?)
Definition
- Direct Acting Sympathomimetic Selective Beta2
- uterine relaxant
Term
phenobarbital
(Class? Routes? Use?)
Definition
- Sedative (Barbiturate; selective CNS depressant)
- PO, IM, IV
- sedative, anticonvulsant
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