SE vasodilation 5 10mmHg in BP caution in those on BP meds nasal congestion

Se vasodilation 5 10mmhg in bp caution in those on bp

This preview shows page 15 - 17 out of 39 pages.

SE: vasodilation - 5-10mmHg in BP (caution in those on BP meds), nasal congestion, headache, facial flushing, dizziness, blurred vision - Absolutely contraindicated in those taking nitrates - Taken roughly 30-60 minutes before intended action, and lasts 4-6 hours - Contact HCP if erection lasting longer the 4 hours (aka Priapism), painful and puts penile tissue at risk for damage - Only once a day Muscarinic - Type of cholinergic receptor - favors acetylcholine - In parasympathetic target organs - Stimulate smooth muscle (heart) - Stimulate gland secretion (endocrine) - In heart: decreased HR and force of contraction Aldosterone (-saratan) - Stress hormone - Released by the adrenal gland to act on the kidneys to stimulate the reabsorption of salt and water (part of the RAAS system) - Mineralocorticoid - Can increase dig levels - Not for pregnant pts - Watch for hyperkalemia - Increases BP (retain Na+ in the renal tubules, secretes potassium)
Image of page 15
*From the hesi book - Adrenal glands secretes aldosterone, when the body’s blood pressure becomes too low, resulting in sodium retention (leading to water retention), thereby increasing BP and potassium excretion to maintain homeostasis Glucagon (trade name - GlucGen): increases the effects of oral anticoagulants A hormone produced by alpha cells in the pancreas Causes glycogen breakdown in the liver & helps to maintain a constant, adequate glucose level between meals Watch for hypokalemia Pancreatic; antihypoglycemic AE: anaphylaxis, unconsciousness Used for hypoglycemia (cold, clammy skin) - increase the blood glucose May be given SQ, IM, or IV Contact HCP after given, insulin adjustment may be needed (if pt is in hypoglycemic shock obviously call 911 first) Antidote for Ca channel blockers and beta blockers Testosterone - An androgen - Secreted by the testes - Primary hypogonadism - testes do not produce enough testosterone - Secondary hypogonadism - Lack of sufficient FSH and LH secretion from pituitary fail to trigger testosterone production by testes - Treatment for both is replacement therapy with testosterone - Luteinizing hormone in men regulates testosterone production - Progesterone is secreted by the adrenal glands in men and is used to make testosterone - Effects tissues outside of the reproductive system as well - Build muscle mass - Promotes synthesis of erythropoietin - Testosterone levels shift with age - Monitor BS and hepatic function, may decrease clotting ability - 3-6 months at max Leukotrienes Promote edema, inflammation and bronchoconstriction Released from mast cells Long term treatment of asthma Can cause suicidal thought, watch for mood changes Leukotriene Modifiers: decrease inflammation and ease bronchoconstriction Montelukast (Singulair) Block release of leukotriene Decrease inflammation and indirectly reduce bronchospasm.
Image of page 16
Image of page 17

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture