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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.
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Dopamine(Intropin)
SE: Inc intraocular pressure, ectopic beats, Nausea, inc HR, chest pain, dysrhymias
Low-dose dilates renal and coronary arteries, High dose vasoconstrictor. HA = excess, check bp, pulses, UO, use infusion pump
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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
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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
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Phenylephrine
SE: palpataions,tachycardia,HTN, dysrhymia, angina, tissue necrosis with extravasation
- Potent alpha 1 agonist
- used to treat hypotension
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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
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Milrinone
SE: dysrhythmia, thrombocytopenia, jaundice
Positive Inotropic agent, smooth muscle relaxant used to tx severe heart failure
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Sodium nitroprusside
Nitropress
SE: hypotension
- Dilates cardiac veins and arteries
- decreases preload and afterload
- increase myocardial perfusion
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Diphenhydramine HCL(Benadryl)
SE: drowsiness, confusion, insomnia, HA, vertigo, photosensitivity
Blocks effects of histamine on bronchioles, GI tract and blodo vessels
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