Meds - Shock, Cardiac Arrest, & Anaphylaxis Flashcards
Norepinephrine: Adverse effects (6)
- HA
- Palpitations
- Nervousness
- Epigastric distress
- Angina hypertension
- Tissue necrosis with extravasation
Norepinephrine: Nursing considerations (7)
- Vasoconstrictor to increase blood pressure and cardiac output
- Reflex bradycarida may occur with rise in BP
- Client should be attended to at all times
- Monitor UO
- Infuse with dextrose solution, not saline
- Monitor BP
- Protect med from light
Dopamine: Adverse (6)
- Increased ocular pressure
- Ectopic beats
- Nausea
- Tachycardia
- Chest pain
- Dysrhythmias
Dopamine: Action (2)
- Low dose–dilates renal and coronary arteries
- High dose–vasoconstrictor, increases myocardial oxygen consumption
Dopamine: Nursing considerations (4)
- HA is an early symptom of drug excess
- Monitor BP &
- Peripheral pulses
- Also UO
Epinephrine: Adverse (4)
- Nervousness
- Restlessness
- Dizziness
- Local necrosis of skin
Epi: Action (1)
Stimulates alpha and beta adrenergic receptors
Epi: Nursing actions (5)
- Monitor BP
- Carefully aspirate syringe before IM and SQ doses
- IV admin can be harmful
- Always check strength; 1:100 only for inhalation and 1:1000 for parenteral admin
- Ensure adequate hydration
Isoproterenol: Action & use (3)
Stimulates alpha1 and beta2 adrenergic receptors
Used for heart block, ventricular arrhythmias, and bradycardia
Bronchodilator used for asthma and bronchospasm
Isoproterenol: Adverse (6)
- HA
- Palpitations
- Tachycardia
- Changes in BP
- Angina, bronchial asthma
- Pulmonary edema
Isoproterenol: (2)
- Don’t give at bedtime it interrupts sleep patterns
- Monitor BP and pulse
Phenylephrine: Use (2)
Potent alpha 1 agonist
Used to treat hypotension
Phenylephrine: Adverse (6)
-Palpitations
- Tachycardia
- Hypertension
- Dysrhythmias
- Angina
- Tissue necrosis with extravasation
Dobutamine hydrochloride: Action
Stimulates beta1 receptors
Inotrope
Dobutamine hydrochloride: Adverse (4)
- Hypertension
- PVCs
- Asthmatic episodes
- HA
