NUR 326 Final: NUR 326 Final Exam Drugs

• School: University of Alabama
• Department: Nursing
• Course: NUR 326
• Professor: Amy Beasley

Document Summary

Initial cns excitement may progress to delirium & even coma (expected b/c of blocking. Psns and activating sns: contraindications: glaucoma (drug may increase pressure in eye), obstructive gi disorders, paralytic ileus, bladder neck obstruction, bph, myasthenia gravis, cardiac insufficiency, or acute hemorrhage, drug-drug: antihistamines, tcas, quinidine, & procainamide = increased effects. Atropine decreases effects of levodopa: herbal: aloe, saw palmetto, buckthorn, & cascara sagrada = may increase atropi(cid:374)e"s effe(cid:272)ts. Obstructive urinary retention (will worsen condition: drug-drug: enhanced cholinergic effects from cholinesterase inhibitors. Decreased cholinergic effects from procainamide, quinidine, atropine, & epi: labs- ast, amylase, & lipase, antidote - atropine sulfate; subq route preferred, iv for emergencies, wat(cid:272)h for cholinergic cri i a(cid:374)d do(cid:374)"t (cid:272)o(cid:374)fuse it (cid:449)/ m(cid:455)asthe(cid:374)i(cid:272) (cid:272)risis. Ke(cid:455) difference = no muscarinic (cholinergic) side effects w/ myasthenic crisis; cholinergic crisis is nicotinic and muscarinic stimulation. May experience increased bmr = increased bp and ventricular tachycardia: contraindications: pts. w/ acute pancreatitis, heart disease, hepatitis, or narrow- angle glaucoma.