NUR 339 Final Drugs
1. Epinephrine (Adrenaline)
Epi-Pen
Answer
Adrenergic drug - SNS stimulation
Treats
anaphylaxis,shock and cardiac arrest, bronchoconstriction. Action
Increases CO, blood flow, BP, causes bronchodilation.
AEs
dysrhythmias, HTN, excess CNS stimulation.
2. Norepinephrine (Levophed) IV drip
Answer
Adrenergic drug - SNS stimulation Action
stimulates alpha receptors only--vasoconstriction
Use
severe hypotension, stimulates vasoconstriction -> increasing BP AEs" severe decrease in blood
flow to periphery (decreases it further) NIs
assess cap refill, pulses, and temp.
3. Dopamine (Intropin)
Answer
Adrenergic drug - SNS stim. Variable effects
Low
increase renal blood
Med
increase HR and CO (positive inotropic) High
alpha-vasoconstriction and increase BP.
AEs
dysrhythmia, tachycardia, decreased blood flow to periphery.IV infiltration -> tissue necrosis
with extravasation -> Regitine (phentolamine) ANTIDOTE
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