Adrenergic Agonists

Question 0

Specific meds

Answer 0

●Epinephrine/norepinephrine
●Phenylphrine
●Dopamine
●Albuterol
●Pseudoephedrine (Sudafed)

●Remember medications can affect all receptor sites!! Watch for side effects

Question 1

Therapeutic

Answer 1

●Hemodynamic compromise
●Shock, acute CHF, arrhythmias
●Bronchospasms, asthma
●Nasal and sinus congestion

Question 2

Contraindications

Answer 2

●Narrow-angle glaucoma
●Pheochromocytoma (Fancy word for. . .)

●Heart disease, CAD, Arrhythmias, CHF peripheral vascular disease with caution!

Question 3

Drug interactions

Answer 3

●Any medication that would stimulate the CNS
●Monoamine oxidase inhibitors (MAOI)
●Theophylline tricyclic antidepressants
●alcohol
●Atropine
●Antihistamines
●Any alpha or beta blockers

Question 4

Adverse reactions

Answer 4

●Nervousness/tremor/anxiety
●Dysrhythmias
●Hypertension
●Cardiac ischemia
●Elevated glucose levels
●Pupil dilation
●Tissue necrosis
●Headache, insomnia
●GI and bladder involvement

Question 5

Nursing implications

Answer 5

●Mostly given IV as drip NOT push
●Infiltration can be serious
●Titration necessary
●Monitor BP, heart rate, anginal pain

●Teach patients with CAD to watch OTC medications