Adrenergic Drugs For Nurse Pharmacology

Front 1

Given for:
cardiac stimulation
cardiac decompensation d/t depressed myo cardial contactility

Back 1

Dobutamine (Dobutrex)

Front 2

Side Effects:
increased HR & BP, anginal pain, palpitation, premature ventricular beats
tremors, paresthesias, mild leg cramps, nervousness, fatigue, shortness of breath

Back 2

Dobutamine (Dobutrex)

Front 3

Contraindication: Hypersensitivity to sympathomimetic amines/sulfites
ventricular tachycardia
idiopathic hypertrophic subaortic stenosis
hypovolemia

Back 3

Dobutamine (Dobutrex)

Front 4

Increases cardiac output & decreases pulmonary wedge pressure & total systemic vascular resistance
Increases conduction through AV node, lower potential for precipitating arrhythmias

Back 4

Dobutamine (Dobutrex)

Front 5

Given to pt: allergic reactions
cardiac arrest
hypotension & shock
local vasoconstriction
bronchodilation
cardiac stimulation
ohthalmic conditions

Back 5

Epinepherine (Adrenolin)

Front 6

cardiac arest for cardiac stimulant & peripheral vasoconstriction allows shunting of blood to the heart & brain w/increased perfusion pressure in coronary & cerebral circulations

Back 6

Epinepherine (Adrenolin)

Front 7

added to local anesthetics for vasoconstrictive effects-prolong action of local anesthetic drug, preventing systemic absorption, minimizing bleeding

Back 7

Epinepherine (Adrenolin)

Front 8

Relieve acute bronchospasm & laryngeal edema of anaphlyatic shock

Back 8

Epinepherine (Adrenolin)

Front 9

Side effects: dysrhythmias, hypertension, nervousness, restlessness, tremor, headache, insomnia, rebound congestion, rhinitis, ulceration of nasal mucosa

Back 9

Epinepherine (Adrenolin)

Front 10

Contraindications: cardiac dysrhythmias, angina pectoris, hypertension, hyperthyroidism cerebrovascular disease, narrow-angle glaucoma, hypersensitivity,

Back 10

Epinepherine (Adrenolin)

Front 11

local anesthesia of dital areas-potential tissue damage & sloughing

Back 11

Epinepherine (Adrenolin)

Front 12

second stage labor-delay progression

Back 12

Epinepherine (Adrenolin)

Front 13

Ed: decrease exposure to allergens
take medication as directed
contact HCP immediately if shortness of breath not relieved by medication
Accompained by diaphoresis, dizziness, CNS or cardiac stimulation
Don't take OTC/herbal prepartions w/same ingredients

Back 13

Epinepherine (Adrenolin)

Front 14

Affecting the body: Inhibits hitamine release form mast cells & increases bronchospasm in chronic obstructive COPD & increases vital capacity
Increases uterine relaxation
Bronchodilator in bronchial asthma for reversible airway obstruction

Back 14

Terbutaline (Brethine)

Front 15

RE given: respiratory smooth muscle relaxant, bronchodilator

Back 15

Terbutaline (Brethine)

Front 16

Side effects: nervousness, tremor, headace, lightheadedness, tachycardia, palpitation

drowisness, fatigue, seizures, hypotenstion/hypertension, maternal & fetal tachycardia, nausea, vomiting, sweating, muscle cramps

Back 16

Terbutaline (Brethine)

Front 17

Contraindications: hypersensitivity to sympathomimetic amines, severe hypertension, coronary artery disease, tachycardia w/digitalis intoxication, w/in 14 days of MAO inhibitor therapy, angle-closure glaucoma

Back 17

Terbutaline (Brethine)

Front 18

Education/nurse interventions: Assess VS: baseline pulse & BP before ea dose, Monitor premature labor for CV S&S 12h after drug discontinued, report tachycardia, Monitor I&O, Inhalator therapy educate, Breathing difficulty not relieved/worsen 30 min after PO contact physican,
Don’t self-dose, puncture container, use any other aerosol broncholdialtor, OTC

Back 18

Terbutaline (Brethine)

Front 19

Affects the body: Increased vascular tone & elevation BP

Back 19

Midorine (Protamine)

Front 20

RE given: Orthostatic hypotension

Back 20

Midorine (Protamine)

Front 21

Side effects: PARESTHESIA, chills, pain, facial flushing,
confusion, nervousness, anxiety, HYPERTENSION,
dry mouth, PRURITUS, PILOERECTION, rash, DYSURIA, URINARY RETNTION, URINARY FREQUENCY

Back 21

Midorine (Protamine)

Front 22

Contraindications: Severe organic heart disease
Heart failure
Kidney disease
Renal failure
Urinary retention
Pheochromocytoma
Thyrotoxicosis
MAOI therapy
Persistent & excessive supine hypertension

Back 22

Midorine (Protamine)

Front 23

Education/nursing interventions:Take last daily dose 4 h before bed
Report sensations w/supine hypertension
Don’t take allergy drugs, cold prep, diet pills
Discontinue drug & report S&S bradycardia develop

Back 23

Midorine (Protamine)

Front 24

Alpha-adrenergic agonist

Back 24

Phenylephrine (Neo-Synephrine)

Front 25

Beta-adrenergic agonist

Back 25

Dobutamine (Dobutrex)
Isoprotereenol (Isuprel)
Terbutaline (Brethine)

Front 26

Alpha and Beta-adrenergic agonist

Back 26

Dopamine
Epinephrine (Adrenalin)
Pseudoephedrine (Sudafed)
Norepinephrine (Levophed)

Front 27

Produce effects similar to those produced by stimulation of the sympathetic nervous system and therefore have widespread effects on body tissues.

Back 27

Adrenergic

Front 28

Alpha-adrenergic; eye &nose preparation; vasopressor; decongestant

Back 28

Phenylephrine (Neo-synephrine)

Front 29

Topical applications to eye produce vasoconstriction & prompt mydriasis of short duration.

Back 29

Phenylephrine (Neo-synephrine)

Front 30

Elevates systolic & diastolic pressures through arteriolar constriction.
Reduces intraocular pressure by increasing outflow & decreasing rate of aqueous humor secretion
Decreased redness
Pupil dilation

Back 30

Phenylephrine (Neo-synephrine)

Front 31

Hypotenstion & shock
Nasal decongestion
Ophthalmic condition

Maintain BP during anesthesia
Vascular failure in shock
Overcome paroxysmal supraventricular tachycardia
Rhinitis
Wide-angle glaucoma

Back 31

Phenylephrine (Neo-synephrine)

Front 32

TRANSIENT STINGING, lacrimation, brow ache, headache, blurred vision, allergy, increased sensitivity to light. REBOUND NASAL CONGESTION, NASAL BURNING, SNEEZING, stinging, dryness, Palpitation, tachycardia, brady cardia, extrasystole, hypertension
TREMOR, SEVERE VISCERAL/PERIPHERAL VASOCONSTRICTIONvasoconstriction, trembling, sweating, pallor, sense of fullness in head, tingling of extremities, sleeplessness, dizziness, light-headedness, weakness, restlessness, anxiety, precordial pain, NECROSIS I IV INFILTRATES

Back 32

Phenylephrine (Neo-synephrine)

Front 33

Education/nurse interventions: Severe coronary disease, severe hypertension, Atrial fibrillation, Atrial flutter, Cardiac arrhythmias, Severe organic cardiac disease, Cardiomyopathy, uncontrolled hypertension, Ventricular fibrillation/tachycardia, acute MI, angia, Cerebral rteriosclerosis MAOI, Narrow-angle glaucoma, Labor-delivery

Back 33

Phenylephrine (Neo-synephrine)

Front 34

Education/nurse interventions: Don’t exceed recommended dosage
Inform dr no relief in 5 days
Wear sunglasses in bright light
May stain contact lenses

Monitor infusion site, pulse BP, central venous pressure
Observe congestion/rebound miosis after topical admin to eye.

Back 34

Phenylephrine (Neo-synephrine)