Antihypotensive Agents Flashcards
1
Q
Medications
A
- Dopamine and dobutamine
- Epinephrine and norepinephrine
2
Q
Action
A
- Stimulate all adrenergic receptors/SNS
- HR and myocardial contractility increase
- Blood vessels constrict and BP increases
- Bronchi dilate
3
Q
Indications
A
- Hypotensive crisis: Shock, HF
- Anaphylaxis
- Bronchospasm
- Asthma
4
Q
Contraindications
A
- Allergy
- Tachyarrhythmias, ventricular fibrillation
- Hypovolemia
- Pheochromocytoma
5
Q
Adverse effects
A
- CV
- GI
- CNS
- Hypokalemia
6
Q
Drug-Drug interactions
A
- Caffeine, Ma huang, guarana
- Cold medicine
7
Q
Assessment
A
- History: Allergy, impaired kidney or liver fx, CV dysfunction, visual problems, urinary retention, and pheochromocytoma
- Physical: Respiratory, cardiac, abdominal, skin, perfusion, VS, weight
- Labs: kidney and liver fx
8
Q
Nursing diagnoses
A
- Ineffective tissue perfusion
- Acute pain
- Disturbed sensory perception
- Deficient knowledge
9
Q
Implementation
A
- Monitor BP and HR
- Moitor pt with known visual problems
- Encourage pt to void before taking dose
- Safety and comfort measures
- Provide pt teaching
10
Q
Evaluation
A
- Evaluate response to drug
- Evaluate effectiveness of teaching plan
- Evaluate effectiveness of comfort and safety measures
- Evaluate compliance with the regimen
