Pharmacology and the Nursing Process7: ch 18 Flashcards

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Before deciding whether the patient receives epinephrine, what are you looking for in your assessment of the patient? pt 1

  • Baseline vital signs (HR and BP)
  • lung sounds (is there limited flow)
  • Renal function (look at urinary output, baseline creatinine)

Before deciding whether the patient receives epinephrine, what are you looking for in your assessment of the patient? pt 2

  • drug history
  • health history (cardiac history and narrow-angle glaucoma)
  • IV site

In the diagnosis what would be indications of using epinephrine?

  • ineffective airway
  • decreased cardiac output

What would the nurse's plan include when using epinephrine? (Respiratory)

  • Patient's RR will be between 12-20 breaths per minute
  • Oxygen saturation will be greataer than 92% on room air
  • lung sounds will have decreased wheezing and
  • increased airflow upon auscultation 15 minutes after adminsitartion of epinephrine

What would the nurse's plan include when using epinephrine? (cardiovascular)

  • patient's systolic BP will be between 95-110,
  • heart rate will be between 60-100

What nursing interventions would the nurse use that maximizes therapeutic effects and minimizes adverse effects?

  • Cardiac arrest: administer 1 mg IV, follow each dose with 20 mL of saline flush
  • monitor IV site frequently when administering IV norepinephrine or dopamine because extravasation
  • administer phentolamine mesylate 5-10 mg diluted in 10-15 mL of saline in the area for IV extravasation
  • monitor urinary output as renal tissue and urinary retention may decrease

What would the nurse ensure the patient knows when administering epinephrine?

  • when self-administering have pen available and use upon initial occurrence of difficulty breathing, wheezing, hoarseness, hives, itching or swelling of lips
  • inspect for discoloration or particles. Inject into outer thigh.
  • should report adverse effects: headache, tremors, insomnia, agitation

What is another name for an adrenergic drug?



The nurse is administering and adrenergic drug and will monitor for which possible effect?



The nurse is aware that adrenergic drugs may be used to treat which conditions?



A woman who is allergic to bees has just been stung while out in her garden. She reaches for her bee-sting kit, which would most likely contain which drug?



A 13-year-old girl was diagnosed with asthma 2 years ago. Today her physician wants to start her on salmeterol (Serevent) administered via an inhaler. The nurse needs to remember to include which statement when teaching the girl and her family about this drug?



The nurse is reviewing the medication orders of a newly admitted patient who has an infusion of the adrenergic drug dopamine. Which of these drugs or drug classes, if also given to the patient , may cause an interaction?



The nurse caring for a patient who is receiving beta₁ agonist drug therapy needs to be aware that these drugs cause which effect?



During a teaching session for a patient who is receiving inhaled salmeterol, the nurse emphasizes that the drug is indicated for which condition?



For a patient receiving a vasoactive drug such as intravenous dopamine, which action by the nurse is most appropriate?



A patient is receiving dobutamine for shock and is complaining of feeling more “skipping beats” than yesterday. What will the nurse do next?



When a drug is characterized as having a negative chronotropic effect, the nurse knows to expect which effect?



The nurse is monitoring a patient who is receiving an infusion of a beta-adrenergic agonist. Which adverse effects may occur with this infusion?