Agents used to treat shock, cardiac arrest, and anaphylaxis

  1. Norepinephrine
    SE: HA, palpitations, Nervousness, epigastric distress, angina, HTN, tissue necrosis w/ extravasation
    • Vasoconstrictor(inc BP and CO)
    • May see reflex bradycardia, do not leave patient alone, UO, give w/ dex, check BP, protect from light.
  2. Dopamine(Intropin)
    SE: Inc intraocular pressure, ectopic beats, Nausea, inc HR, chest pain, dysrhymias
    Low-dose dilates renal and coronary arteries, High doseĀ vasoconstrictor. HA = excess, check bp, pulses, UO, use infusion pump
  3. Epinephrine(adrenaline)
    SE: nervousness, restlessness, dizziness, local necrosis of skin
    Stimulates a and b adrenergic receptors, monitor bp, iv can be dangerous. 1:100 for inhalation and 1:1,000 for parenteral admin, hydrate
  4. Isoproterenol(isuprel)
    SE: HA, palpitation, tachycardia, BP changes, Agina, bronchial asthma
    stimulates beta 1 and beta 2 adrenergic receptors, used for heart block, ventricular arrhythmias, and bradycardia, bronchodilator(asthma and broncho spasm), don't give at night, check bp and pulse
  5. Phenylephrine
    SE: palpataions,tachycardia,HTN, dysrhymia, angina, tissue necrosis with extravasation
    • Potent alpha 1 agonist
    • used to treat hypotension
  6. Dobutamine Hydrochloride
    SE: HTN, PVC, asthmatic episodes, HA
    Stimulators beta 1 receptors, incompatible with alkaline solutions(bicarb), use CVC or larger peripheral vein, don't infuse through line with other meds, check ECG, BP, IO, serum potassium
  7. Milrinone
    SE: dysrhythmia, thrombocytopenia, jaundice
    Positive Inotropic agent, smooth muscle relaxant used to tx severe heart failure
  8. Sodium nitroprusside
    Nitropress
    SE: hypotension
    • Dilates cardiac veins and arteries
    • decreases preload and afterload
    • increase myocardial perfusion
  9. Diphenhydramine HCL(Benadryl)
    SE: drowsiness, confusion, insomnia, HA, vertigo, photosensitivity
    Blocks effects of histamine on bronchioles, GI tract and blodo vessels
Author
padr3ko
ID
195727
Card Set
Agents used to treat shock, cardiac arrest, and anaphylaxis
Description
NCLEX meds
Updated