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13 Cards in this Set
- Front
- Back
Epinephrine (Adrenalin)
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Use: Emergencies, cardiac arrest, severe allergy, bronchospasm
Action: > heart rate, > heart contraction (inotrope), > BP, bronchodilation (opens airways) SE: Nervousness, palpitations Nursing Implications: Can be given via SubcQ, IV, IM, inhalation, intracardiac, and endotracheal tube (ET) routes. Adverse reactions: palpitations, > HR Contraindications: dysrhythmias, narrow angle glaucoma |
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Albuterol (Proventil)
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): Use: Asthma, prevents & treats bronchospasm
Action: Selective beta-2 agonist; bronchodilation S. E.: Tremors, nervousness Nursing Implications: Faster onset with inhalation; cautious use with cardiac patients (some beta-1 effect) in high doses Given: PO, inhalation, nebulizer |
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Norepinephrine (Levophed)
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Use: For hypotension, to increase BP, when other drugs fail
Action: Potent vasoconstrictor, alpha adrenergic effect S.E.: Impaired organ (kidneys), tissue necrosis at IV site; strong vasoconstriction. (nurse monitor IV site) Nursing: BP and heart monitor; taper off doses slowly to avoid hypotension. Extravasation from IV drug causing extreme vasoconstriction |
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Dopamine (Intropin)
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Use: Shock (low BP)
Action: Dilates (low dose); vasoconstricts (high dose); affects receptors: alpha-1, beta-1, Side Effects: Sympathetic stim.; increased heart rate Nursing Implications: Monitor VS, EKG, circulation, organ perfusion= Urine OP |
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Dobutamine (Dobutrex)
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Use: Heart failure
Action: Beta-1 stim; positive inotropic Side Effects: Tachycardia, high BP, angina Nursing Implications: ICU monitoring |
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Isoproterenol (Isuprel)
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potent nonselective beta-adrenergic agonist
Cardiac output is increased because of the positive inotropic (force) and chronotropic (timing, rate) effects of the drug |
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Prazosin (Minipress)
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Use: Hypertension
Action:Alpha-1 blocker; vasodilatation Side Effects: Dizzy, low BP |
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Propranolol (Inderal)
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Beta blocker
Use: Angina, heart irregularities, HTN (hypertension) Action: Blocks B1, B2 receptors; lowers the pulse and BP. Negative Effects: Bradycardia (slow pulse), fatigue, bronchial constriction Nursing Implications: Assessment: VS, don’t give in Asthma, COPD, heart block Planning: VS-WNL Implementation: Monitor VS, SE. Teach patient: Do not stop drug abruptly. If diabetic, may need more insulin. |
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atenolol (Tenormin)
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Use: HTN; after heart attack
Action: Beta-1 selective blocker, decrease heart rate Side Effects: Low pulse, dizzy Nursing Implications: Similar to Inderal except no respiratory effects. Do not stop abruptly |
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Bethanechol chloride (Urecholine)
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Direct acting drug
Use: Treats urinary retention, abdominal distention Action: Increases urination through cholinergic effect; contracts bladder Side Effects: N&V, diarrhea, salivation, sweating, freq urination, low pulse |
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Trihexylphenidyl (Artane)
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Use: decreases involuntary movements in Parkinson’s Disease
Action: Blocks cholinergic muscarinic receptors Contraindicated: narrow-angle glaucoma, GI obstruction S.E.: N & V, dry mouth, constipation |
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Atropine sulfate (Atropine)
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Use: decrease salivary secretions, >heart rate, dilates pupils
Action: Decreases acetylcholine Negative Effects: Dry mouth, decreased perspiration, blurred vision, tachycardia, constipation, urinary retention. |
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Tolterodine (Detrol)
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Use: Treats bladder overactivity
Action: anticholinergic, muscarinic receptor blocker SE: Nausea/vomiting, dry mouth, constipation, blurred vision, urinary retention |