Anti-hypotensive Agents

Question 1

Anti-hypotensive Agents Drug Names

Answer 1

Dopamine
Dobutamine
Epinephrine
Norepinephrine

Question 2

Anti-hypotensive Agents Therapeutic Actions

Answer 2

• Stimulate all adrenergic receptors/SNS
• HR and myocardial contractility increase
• Blood vessels constrict and BP increases
• Bronchi dilate and rate/depth of breathing increases

Question 3

Anti-hypotensive Agents Indications

Answer 3

-	Hypotensive states
	Shock 
	Heart failure
-	Anaphylaxis 
-	Bronchospasm 
-	Asthma

Question 4

Anti-hypotensive Agents Contraindications and Cautions

Answer 4

Contraindication:
•	Allergy 
•	Tachyarrhythmias/ ventricular fibrillation 
•	Hypovolemia
•	Pheochromocytoma

Question 5

Anti-hypotensive Agents DDI

Answer 5

• Ma huang/ guarana/ caffeine

* Cold medicine

Question 6

Anti-hypotensive Agents Adverse Effects

Answer 6

• CV
• GI
• CNS
• Hypokalemia
• Falls

Question 7

Anti-hypotensive Agents:

Assessment

Answer 7

Hx: allergy, impaired kidney or liver function, CV dysfunction; visual problems; urinary retention, and pheochromocytoma
Physical: vital signs, weight, BP, RR, abdominal, urinary, perfusion, ECG (baseline)
Labs: renal and hepatic function

Question 8

Anti-hypotensive Agents:

Diagnosis

Answer 8

• Acute pain
• Ineffective tissue perfusion
• Disturbed sensory perception
• Deficient knowledge

Question 9

Anti-hypotensive Agents:

Implementation

Answer 9

• Monitor BP and HR
• Monitor patient with known visual changes
• Encourage patient to void before taking a dose of the drug
• Safety and comfort measures
• Provide thorough patient teaching

Question 10

Anti-hypotensive Agents:

Evaluation

Answer 10

Response to the drug
Adverse effects
Effectiveness of comfort measures Compliance with the regimen
Effectiveness of the teaching plan