Andrenergic+&+Andrenergic+Blocking+Drugs

__**ALPHA-ADRENERGIC STIMULATORS: **__ Also cause CNS stimulation: resulting in fight or flight response from the SNS.
 * **Alpha 1**- **FOCUS** of adrenergic drugs; receptors are located on post synaptic effector cells
 * ~ accept neurotransmitters
 * **Alpha 2**- Presynaptic nerve terminals
 * ~ release neurotransmitters
 * *Stimulating Alpha 1- VASOCONSTRICTION* **

Alpha 1 receptors are located on smooth muscle
 * Blood vessels

__**Alpha 1-Adrenergic Drugs: **__ *Nasal Decongestants - Constrict blood vessels in nasal mucosa, *Opthalamic Decongestants - Vasoconstricts arterioles in eyes, decompressing conjunctive & reducing redness
 * Naphazoline - Clear Eyes
 * Phenylephrine - Neo-Synephrine
 * Tetrahydrozoline - Murine, Visine
 * Pseudoephedrine - Sudafed

<span style="color: #f00000; font-family: 'Lucida Console',Monaco,monospace; font-size: 170%;">*Alpha 1 - Adrenergic Rescue drug = Norepinephrine (Lovophed) <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Used to treat shock and hypotension by causing systemic vasoconstriction <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">911 emergency ~ Used as a __last__ __resort__!

__**<span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 150%;">SIDE EFFECTS: **__

<span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">insomnia, euphoria || <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">vasoconstriction, hypertension || <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">taste changes (rare) ||
 * <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">CNS || <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Headache, restlessness, excitement,
 * <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Cardiovascular || <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Palpitations (dysrhythmias, tachycardia,
 * <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Other || <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Anorexia, dry mouth, nausea, vomiting,

__**<span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 150%;">Contraindications: **__ <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Assess for adrenergic drug allergies & severe hypertension.

__**<span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 150%;">Nursing Implications: **__ <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Assess for allergies,hypertension, cardiac dysrhythmias, or other cardiovascular diseases <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Assess renal, hepatic, and cardiac function before treatment <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Perform baseline assessment of VS, peripheral pulses, skin color, temperature, and capillary refill.

<span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Overuse of nasal decongestants may cause <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">rebound nasal congestion or ulcerations

<span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;"> __**<span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 150%;">Adrenergic Drugs via IV Administration: **__ <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Check IV site often for infiltration <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Use clear IV solutions <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Use an infusion device/IV pump <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Infuse agent slowly to avoid dangerous cardiovascular effects <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Monitor cardiac rhythm

__**<span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 150%;">Interactions: **__ <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Anesthetic agents <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Tricyclic antidepressants <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">MAOIs (used to treat depression) <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Antihistamines
 * <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Cardiac dysrhythmias
 * <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Acute hypertensive crisis
 * <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Life threatening hypertensive crisis
 * <span style="color: #f2175f; font-family: Tahoma,Geneva,sans-serif; font-size: 130%;">Increase adrenergic effects



__<span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">**BETA ADRENERGIC RECEPTORS (STIMULATORS)** __ > __<span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">**NURSING IMPLICATIONS** __
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Response results in
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Bronchial, gastroinstestinal (GI), and uterine smooth muscle relaxation (β2)
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Glycogeneolysis (β2)
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Biochemical breakdown of Glycogen to Glucose in Liver
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Cardiac stimulation (β1)
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Located on postsynaptic effector cells which accept the neurotransmiter
 * __<span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">**Beta 1** __
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Located in the heart
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Myocardium, conduction system of the heart
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Stimulation Causes : **VASOCONSTRICTION** and **INOTROPIC EFFECTS**
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Increase in heart rate
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Increase in force of contraction
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Increase in conduction of nerve impulses
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Increase in Blood pressure = Hypertension
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">**TAKE HOME MESSAGE:** β1 Stimulators **speed** up the heart, making it work more efficiently
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Adrenergic Agents
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Pressors and Inotropes
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Rescue Drugs
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Used to sustain heart during Cardiac Failure or Shock
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Must be titrated carefully for therapeutic response
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">ECG required for Dopamine in larger doses and Dobutamine
 * __<span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">**Beta 2** __
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Located in the smooth muscle of
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Bronchioles
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Arteriole
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Visceral organs which would include Uterus
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Stimulation Causes: **RELAXATION**
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Bronchi resulting in Bronchodilation
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Uterus resulting in relaxation to stop labor
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">**TAKE HOME MESSAGE**: β2 Stimulators **Relax** Bronchi and Uteruses (for Babies)
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Adrenergic Agents
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Albuterol
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Used for Asthma Rescue
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Epinephrine
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Used for Asthma 911 Attack to Dilate Bronchioles Immediately
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Mixed Alpha 1 + Beta 1
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Levalbuterol (Advair)
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Used for Asthma Maintenance Only
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Prevents Attacks but won't help if attack has already begun
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Terbutaline (Brethine)
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Used for Uterine Relaxation to stop premature labor
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Side Effects
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">CNS
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Mild tremors, Headache, Nervousness, Dizziness
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Cardiovascular
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Increased heart rate, palpitations (dysrhythmias), fluctuations in blood pressure
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Other
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Sweating, N/V, muscle cramps
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Assess for
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Allergies
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">History of hypertension, cardiac dysrhythmias, or other cardiovascular diseases
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Renal, hepatic, and cardiac function before treatment
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Perform baseline assessment of
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Vitals (Include postural pressure and pulse)
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Peripheral pulses
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Skin color and temperature
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Capillary Reflll
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Interactions
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Do not Administer 2 adrenergic agents together due to possibility of severe cardiovascular effects (Tachycardia, HTN)
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Avoid OTC or other medications
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">After Administration
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Monitor Vitals including Cardiac Rhythms
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Monitor for Reactions
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Monitor for Therapeutic Effects
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Return to Normal Vitals
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Increased Level of Consciousness
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Improved Skin color and temperature
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Return to Normal Respiratory Rate
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Improved breath sounds, fewer rales with less dyspnea
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Increased air exchange with improved blood gases
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Increased activity tolerance without shortness of breath
 * <span style="color: #2aaaf4; font-family: Verdana,Geneva,sans-serif; font-size: 140%;">Patient Education on use of Advair only for prevention use, not management of acute symptom

media type="youtube" key="VnaJ2sWjbzU" height="594" width="822" align="center"

__**<span style="color: #800080; font-family: 'Courier New',Courier,monospace; font-size: 250%;">ALPHA BLOCKERS: **__ <span style="color: #ad0599; display: block; font-family: 'Comic Sans MS',cursive; font-size: 125%; text-align: left;">__**﻿Mechanism of action:**__ Interupts the stimulation of the SNS at the alpha1-adrenergic receptors. Works by either a competitive or non competitive process with norepinephrine. <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">***Blocking an alpha receptor= Vasoconstriction***

<span style="color: #ad0599; font-family: 'Courier New',Courier,monospace; font-size: 175%;"> __**<span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">Indications: **__ <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">1. Used to treat Hypertension-it causes arterial and venous dilation which leads to reduced peripheral vascular resistance and blood pressure <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">2. Used to treat Benign Prostatic Hypertrophy(BPH)-has an effect on receptors on prostate gland and bladder which decreases urinary resistance and obstruction. <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">3. Used to treat migraines by constricting dilated arteries going to the brain <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">4. Controls post-partum bleeding by stimulating uterine contractions and inducing local vasoconstriction.

<span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">***Do not take if have known drug allergy or peripheral vascular disease!!***

__**<span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">Adverse reactions: **__ <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">**Cardiovascular**-Palpitations, orthostatic hypotension, tachycardia, edema, dysrhythmias, and chest pain. <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">**CNS**-Dizziness, H/A, drowsiness, anxiety, depression, vertigo, weakness, numbness, and fatigue. <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">**GI**- N/V/D, constipation, and abdominal pain. <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">**OTHER**- incontinence, nosebleed, tinnitus, dry mouth, pharyngitis, rhinitis.

__**<span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">Interactions: **__ <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">Alpha blockers are highly protein bound and compete for binding sites with other drugs who are also highly protein bound.

__**<span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">DRUG NAMES: **__ <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">1. **Ergotamine Tartrate**- for migraines and post-partum bleeding <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">2. **Phentolamine(Regitine)-** used IV, IM, or SUBQ to decrese Blood Pressure and treat IV extraevasion <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">3**. Prazosin(Minipress)-** used PO to decrease Blood Pressure and increase urinary outflow with BPH <span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">4. **Tamsulosin(Flomax)-** used PO to decrease Blood Pressure and increase urinary outflow with BPH

__<span style="color: #007eff; font-family: Impact,Charcoal,sans-serif; font-size: 200%;">BETA BLOCKERS: __

<span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">**Mechanism of action:** Block SNS stimulation of the beta adrenergic receptors by competing with the endogenous catecholamines norepinephrine and epinephrine.



<span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">**Beta 1 Blockers:** Cause vasodilation- decreased heart rate, decreased contractility, decreased conduction, and reduces damage after an MI and angina. Drugs for Beta 1 blockers are cardioselective and they only block beta 1.

<span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">**Beta 2 Blockers:** Cause constriction (bronchoconstriction). Drugs are non-specific beta blockers and and they block both beta 1 and beta 2. They have the same uses as beta 1 blockers, but are also used for maintenance treatment (migraines).

<span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">**Indications:** <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">1. Treatment of angina- work by decreasing the demand for myocardial energy and oxygen consumption, which helps shift the supply/demand ratio to the supply side and allows more oxygen to get to the heart muscle. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">2. Cardioprotective: Because they inhibit stimulation of the myocardium by circulating catecholamines. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">3. Treatment of various types of dysrhythmias. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">4. Treatment of hypertension. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">5. Treatment of heart failure. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">6. Treatment of migraine headaches.

//**<span style="color: #ff0000; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">*Do not take if you have known drug allergies!* **//

<span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">**Adverse Effects:** <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">Blood: Agranulocytosis. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">Cardiovascular: AV block, bradycardia, peripheral vascular insufficiency. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">CNS: Dizziness, mental depression, lethargy, hallucinations. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">Gastrointestinal: Nausea, dry mouth, vomiting, diarrhea, cramps, ischemic colitis. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">Other: Impotence, rash, alopecia, bronchospasm.

<span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">Cardioselective: <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">*Metoprolol (Lopressor): Use in patients after an MI. Oral and injectable use. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">*Acebutolol (Sectral): Angina, hypertension, dysrhythmias. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">Non-specific: <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">*Propranolol (Inderal): Same use as cardioselective drugs but also used for migraine headaches. Contraindicated in patients with reactive airway conditions (asthma, COPD). Oral and injectable. <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">*Carvedilol (Coreg): Treatment of heart failure, angina, and hypertension. Oral and injectable.
 * <span style="color: #007eff; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">Drugs: **


 * <span style="color: #ff0000; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">QUIZ! **


 * <span style="color: #ff0000; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">1. Which drug is used for post-partum bleeding? **


 * <span style="color: #ff0000; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">2. Beta 2 blockers cause_ . **


 * <span style="color: #ff0000; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">3. Drug used to stop labor. **


 * <span style="color: #ff0000; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">4. Alpha 1 Adrenergic Rescue Drug. **


 * <span style="color: #ff0000; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">QUIZ ANSWERS! **


 * <span style="color: #ff0000; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">1. Ergotamine tartrate **
 * <span style="color: #ff0000; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">2. Bronchoconstriction **
 * <span style="color: #ff0000; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">3. Terbutaline (Brethine) **
 * <span style="color: #ff0000; font-family: Verdana,Geneva,sans-serif; font-size: 120%;">4. Norepinephrine (Lovophed) **

<span style="color: #ad0599; font-family: 'Comic Sans MS',cursive; font-size: 125%;">References:

<span style="color: #333333; display: block; font-family: 'times new roman',times,serif; font-size: 12px; font-style: normal; letter-spacing: 2px; margin-left: 20px; padding: 20px; text-align: left; text-indent: -20px; width: 350px; word-wrap: break-word;">Lane, L, Collins, S, Harrington, S, Rainforth, S, & S., J. (2010). //Pharmacology and the nursing process//. Mosby Inc. <span style="color: #333333; display: block; font-family: 'times new roman',times,serif; font-size: 12px; font-style: normal; letter-spacing: 2px; margin-left: 20px; padding: 20px; text-align: left; text-indent: -20px; width: 350px; word-wrap: break-word;">Petges, Nancy RN MSN. Pharmacology: Adrenergic and Adrenergic Blocking Agents PowerPoint, 2011 <span style="color: #333333; display: block; font-family: 'times new roman',times,serif; font-size: 12px; font-style: normal; letter-spacing: 2px; margin-left: 20px; padding: 20px; text-align: left; text-indent: -20px; width: 350px; word-wrap: break-word;">Rapmaster Shannon. "Feel it Flow." (2008). http://www.youtube.com/watch?v=VnaJ2sWjbzU