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50 Cards in this Set
- Front
- Back
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List 9 meds that tx HYPOVOLEMIC SHOCK, CARDIAC ARREST, and ANAPHYLAXIS.
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1. Norepinephrine (Levophed)
2. Dopamine (Intropin) 3. Epinephrine (Adrenalin) 4. Isoproterenol (Isuprel) 5. Phenylephrine (Neo-Synephrine) 6. Dobutamine HCL (Dobutrex) 7. Milrinone (Primacor) 8. Sodium nitroprusside (Nitropress) 9. Diphenhydramine HCl (Benadryl) |
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MOA of Norepinephrine (Levophed)?
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VasoCONSTRICTOR to increase BP and CO
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What might occur in one's HR if Norepinephrine (Levophed) is given?
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Reflex bradycardia r/t increase in BP
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What solution should you use to infuse Norephinephrine (Levophed)?
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DEXTROSE, not saline
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What are the low-dose effects of Dopamine (Inotropin)?
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DILATES renal and coronary arteries
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What are the high-dose effects of Dopamine (Inotropin)?
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vasoCONSTRICTS to increase efficiency of heart oxygen consumption
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What is an early symptom of Dopamine (Inotropin) OD?
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headache
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Which receptors does Epinephrine (Adrenalin) stimulate?
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alpha and beta receptors
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What must you do to the syringe before administering an IM or SubQ dose of epi?
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aspirate
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Should you administer epi IV?
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NO: can be harmful
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What strength of epi should be used for INHALATION?
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use 1:100
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What strength of epi should be used for IM or SUBQ (parenteral)?
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use 1:1000
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Which receptors do Isoproterenol (Isuprel) act on?
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Isoproterenol (Isuprel) acts on BETA-1 and BETA-2 adrenergic receptors
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Why shouldn't you give Isoproterenol (Isuprel) at night?
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Isoproterenol (Isuprel) disturbs sleep patterns
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Which receptors does Phenylephrine (Neo-Synephrine) act upon?
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potent ALPHA-1 agonist
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When would one use Phenylephrine (Neo-Synephrine)?
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to tx hypOtension
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Which receptors do Dobutamine HCl (Dobutrex) stimulate?
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stimulates BETA-1 receptors
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How should you administer Dobutamine HCl (Dobutrex)?
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through a CENTRAL VENOUS CATHETER or LARGE PERIPHERAL VEIN using an infusion pump
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Can you infuse Dobutamine HCl (Dobutrex) w/ other meds?
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NO-incompatible w/ other meds and w/ alkaline solutions (ie sodium bicarb)
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What type of agent is Milrinone (Primacor)?
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a POSITIVE INOTROPIC AGENT: increases the force of contraction
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When would you prescribe Milrinone (Primacor)?
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as a smooth muscle relaxant to tx severe heart failure
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MOA (3) of Sodium nitroprusside (Nitropress)?
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1. DILATES cardiac veins and arteries;
2. DECREASES preload & afterload 3. INCREASES myocardial perfusion |
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MOA and site of action of Diphenhydramine HCl (Benadryl)?
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Blocks effects of histamine on BRONCHIOLES, GI TRACT, BLOOD VESSELS
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MAJOR SIDE EFFECTS of meds that tx hypovolemic shock, cardiac arrest, and anaphylaxis?
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1. serious rebound effect
2. underdosing/overdosing side effects-need balance |
|
|
Nursing considerations for meds that tx hypovolemic shock, cardiac arrest, and anaphylaxis?
|
1. Monitor VS
2. Measure UO 3. Assess for extravasation 4. Observe extremities for color and perfusion |
|
|
List 9 meds that tx HYPOVOLEMIC SHOCK, CARDIAC ARREST, and ANAPHYLAXIS.
|
1. Norepinephrine (Levophed)
2. Dopamine (Intropin) 3. Epinephrine (Adrenalin) 4. Isoproterenol (Isuprel) 5. Phenylephrine (Neo-Synephrine) 6. Dobutamine HCL (Dobutrex) 7. Milrinone (Primacor) 8. Sodium nitroprusside (Nitropress) 9. Diphenhydramine HCl (Benadryl) |
|
|
MOA of Norepinephrine (Levophed)?
|
VasoCONSTRICTOR to increase BP and CO
|
|
|
What might occur in one's HR if Norepinephrine (Levophed) is given?
|
Reflex bradycardia r/t increase in BP
|
|
|
What solution should you use to infuse Norephinephrine (Levophed)?
|
DEXTROSE, not saline
|
|
|
What are the low-dose effects of Dopamine (Inotropin)?
|
DILATES renal and coronary arteries
|
|
|
What are the high-dose effects of Dopamine (Inotropin)?
|
vasoCONSTRICTS to increase efficiency of heart oxygen consumption
|
|
|
What is an early symptom of Dopamine (Inotropin) OD?
|
headache
|
|
|
Which receptors does Epinephrine (Adrenalin) stimulate?
|
alpha and beta receptors
|
|
|
What must you do to the syringe before administering an IM or SubQ dose of epi?
|
aspirate
|
|
|
Should you administer epi IV?
|
NO: can be harmful
|
|
|
What strength of epi should be used for INHALATION?
|
use 1:100
|
|
|
What strength of epi should be used for IM or SUBQ (parenteral)?
|
use 1:1000
|
|
|
Which receptors do Isoproterenol (Isuprel) act on?
|
Isoproterenol (Isuprel) acts on BETA-1 and BETA-2 adrenergic receptors
|
|
|
Why shouldn't you give Isoproterenol (Isuprel) at night?
|
Isoproterenol (Isuprel) disturbs sleep patterns
|
|
|
Which receptors does Phenylephrine (Neo-Synephrine) act upon?
|
potent ALPHA-1 agonist
|
|
|
When would one use Phenylephrine (Neo-Synephrine)?
|
to tx hypOtension
|
|
|
Which receptors do Dobutamine HCl (Dobutrex) stimulate?
|
stimulates BETA-1 receptors
|
|
|
How should you administer Dobutamine HCl (Dobutrex)?
|
through a CENTRAL VENOUS CATHETER or LARGE PERIPHERAL VEIN using an infusion pump
|
|
|
Can you infuse Dobutamine HCl (Dobutrex) w/ other meds?
|
NO-incompatible w/ other meds and w/ alkaline solutions (ie sodium bicarb)
|
|
|
What type of agent is Milrinone (Primacor)?
|
a POSITIVE INOTROPIC AGENT: increases the force of contraction
|
|
|
When would you prescribe Milrinone (Primacor)?
|
as a smooth muscle relaxant to tx severe heart failure
|
|
|
MOA (3) of Sodium nitroprusside (Nitropress)?
|
1. DILATES cardiac veins and arteries;
2. DECREASES preload & afterload 3. INCREASES myocardial perfusion |
|
|
MOA and site of action of Diphenhydramine HCl (Benadryl)?
|
Blocks effects of histamine on BRONCHIOLES, GI TRACT, BLOOD VESSELS
|
|
|
MAJOR SIDE EFFECTS of meds that tx hypovolemic shock, cardiac arrest, and anaphylaxis?
|
1. serious rebound effect
2. underdosing/overdosing side effects-need balance |
|
|
Nursing considerations for meds that tx hypovolemic shock, cardiac arrest, and anaphylaxis?
|
1. Monitor VS
2. Measure UO 3. Assess for extravasation 4. Observe extremities for color and perfusion |
