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nsg pharm 1
shock cardiac anaphylaxis
| Question | Answer |
|---|---|
| NOREPINEPHRINE (Levophed) | infuse c dextrose not saline, monitior bp, used to increase bp & cardiac output |
| DOPAMINE (Intropin) | low dose-dilate renal & coronary arteries, high dose-vasoconstricts, incr myocardial o2, ha sign of toxicity, use infusion pump |
| EPINEPHRINE (Adrenalin) | NEVER IVP or IV!, monitor BP, check strength, ensure hydration |
| ISOPROTERENOL (Isuprel) | don't give @ hs, monitor bp & pulse, used for heart block/ vent arrhythmias/ bradycardia |
| PHENYLEPHRINE (Neo-Synephrine) | used for hypotension |
| DOBUTAMINE HYDROCHLORIDE (Dobutrex) | NO bicarb!, incompat c other meds, admin via central venous cath or lg periph vein c IV pump, monitor ekg/bp/i&o/serum K+ |
| Milrinone (PRIMACOR) | used for severe heart failure, monitor for jaundice |
| Sodium NITROPRUSSIDE (NITROPRESS) | dilates cardiac veins & arteries, increases myocardial perfusion |
| Diphenhydramine HCl (BENADRYL) | blocks effects of histamine on bronchioles/gi tract/bl vessels |
| shock/cardiac arrest/anaphylaxis meds | se: serious rebound may occur, considerations: monitor VS/urine output/perfusion |