Chapter 27 - Enhancing the Adrenergic Response

Question 1

epinephrine (Adrenalin)

Answer 1

Class: Adrenergics

• MOA: stimulates alpha adrenergic receptors, beta1 and beta2 receptors
• Uses: anaphylactic shock, cardiac arrest, added to local anesthetics, hypotension (severe) shock, MAP (mean arterial pressure) b/w 80-100
• AE: MANY (CNS, heart, GI tract, most often patients have effects related to stimulating sympathetic nervous system, if HR/BP up too high, can have hypertensive stroke, if heart problems ( inc HR) –> can cause ischemia and chest pain
• Patient teaching: Let patients know what will happen if awake/alert enough; can cause dizziness, inc. HR, jittery, anxious, inc. BP, not same effect in subQ tissue as IV, report any of these S/S

Question 2

EpiPen

Answer 2

• Needle comes out during use
• Inject into large muscle and hold for a couple seconds to allow med to be delivered, then take out
• Do as often as needed (every 3-5 minutes)
• Auto-injectors (insert at a 90 degree angle), after taken out, the needle will retract, massage site to distribute medication