NR 291 Study Guide Exam 2 with Answers


Category: NR 291


NR 291 Pharmacology I Study Guide Exam 2

            Effects of the Peripheral Vascular System

  • Cholinergic – Parasympathetic Nervous System (feed and breed; rest and digest)
  • Adrenergic – Sympathetic Nervous System (fight or flight)

            Chapter 36: Antihistamines, Decongestants, Antitussives, and Expectorants

  • Know and apply pharmacology treatment for the common cold
  • Antihistamines (-dine) (-iramine) (-tadine)
  • Decongestants
  • Antitussives – only for nonproductive coughs
  • Expectorants

            Chapter 37: Respiratory Drugs

  • Know Evidence-Based Practice Guideline from GINA (stepwise plan)
  • Know classifications and actions of respiratory drugs (Bronchodilators, etc…)
  • Relievers
  • Controllers
  • Leukotriene receptor antagonists (LTRAs)
  • Xanthine derivatives
  • Anti-IgE
  • Long-acting anticholinergics
  • Know and apply asthma action plan, definition of control, questions asked, peak meter flow

            Chapter 41: Antitubercular Drugs

  • Common infection sites
  • TB-Related Injections
  • Know and apply concepts of bactericidal and bacteriostatic therapy
  • Know and apply concepts of culture and sensitivity of TB sputum cultures
  • Know patient and family education regarding spread of infection
  • Know and apply concept of MDR-TB
  • Know first-line drug therapy (RIPE) for TB, including length of treatment

Chapter 18: Adrenergic Drugs

  • Know multiple names of this classification of drugs (vasopressors, etc…)
    • Vasoactive Adrenergics, Pressors, Inotropes, Cardioselective Sympathomimetics
  • Know effects of sympathetic nervous system (fight or flight), both alpha and beta receptors
  • Vasopressors (-ine)

            Chapter 19: Adrenergic-Blocking Drugs

  • Know multiple names of this classification of drugs (adrenergic antagonists, etc…)
    • Adrenergic Antagonists, Alpha blockers, Alpha/Beta blockers, Beta blockers, Sympatholytics
  • Alpha blockers (-zosin): arterial and venous dilation, decreases resistance to urinary outflow
    • Know and apply concept of first-dose phenomenon: severe and sudden drop in BP
    • Examples: doxazosin, tamsulosin
    • phentolamine: 1
  • Beta blockers (-olol) – block neurotrasmitters (norepinephrine and epinephrine)
    • Know effects of selective (cardioselective) and non-selective
    • Examples: atenolol, metoprolol

            Chapter 22: Antihypertensive Drugs

  • Know multiple classifications of drugs (adrenergic, ACE-I, etc…)
  • Adrenergic Drugs
  • ACE-Inhibitors (ACE-I) (-pril):
  • Angiotensin II Receptor Blockers (ARBs) (-sartan):slows progression of left ventricular hypertrophy after MI and increases survival rate after MI
  • Calcium Channel Blockers (CCBs) (amlodipine, diltiazem, verapamil):
  • Diuretics – Thiazide (hydrocholorothiazide):
  • Vasodilators (sodium nitroprusside):

Chapter 28: Diuretic Drugs

  • Know multiple classifications of drugs:
  • Know drugs effect on potassium, signs and symptoms of hypokalemia, diet considerations
  • Loop (furosemide):
  • Osmotic (mannitol):
  • Potassium-sparing (spironolactone):
  • Thiazide (hydrocholorothiazide):
  • Thiazide-like (metolazone):
  • Carbonic anhydrase inhibitor (acetazolamide)

Chapter 23: Antianginal Drugs

  • Know multiple classifications of drugs:
  • Nitrates / nitrites (-nitro or -nitrate):
  • Beta blockers (-olol):
  • Calcium channel blockers (CCBs):

Chapter 24: Heart Failure Drugs

  • Know multiple classifications of drugs
  • Know concepts of preload and afterload, link with each classification
  • ACE-I (-pril)
  • ARBs (-sartan)
  • Diuretics
  • Nitrates/vasodilators (nitrates, hydralazine):
  • Beta-blockers (-olol):
  • Positive inotropes