-
Drugs used for Shock, Cardiac Arrest and Anaphlaxis
- Levophid
- Inotropin
- Adrenalin
- Isuprel
- Sudafed
- Neo-synephrine
- Dobutrex
-
Norephinephrine
Levophed
- Side Effects:
- HA, Palpitations, Nervousness, Epigastric distress, Angina, hypertension, tissue necrosis
- Nursing Considerations:
- vasocontrictor to increase BP and CO
- Reflex bradycardia may occur with rise in BP
- pt should be attended to at all times
- monitor urinary output
- infuse with dextrose, not saline
- protect from light
- monitor BP
-
Dopamine
Inotropin
- Side Effects:
- Increased ocular pressure
- Extopic beats
- Nausea
- Tacycardia, chest pain, dysrythmia
- Considerations:
- Low-dose-dilates renal and coronary arteries
- high dose vasoconstrictor, increases myocardial oxy consumption
- HA is early sign of OD
- monitor BP, per. pulses, UO
- use infusion pump.
-
Epinephrine
(Adrenalin)
- SE:
- Nervousness
- Restlessness
- Dizziness
- Local necrosis of skin
- Considerations:
- stimulates alpha and beta adrenergic receptors
- monitor BP
- carefully aspirate before IM and SQ doses
- always ck strength- 1:1000- parenteral 1-100- inhalation
- ensure adequate hydration
-
Isoproterenol
(Isuprel)
- SE:
- HA
- Palpitaions
- Tachycardia
- Changes in BP
- Angina, bronchial asthma
- Considerations:
- stimulates beta 1 and beta 2 adrenergic rec.
- used for heart block, ventricular arrhyrhmia, and bradycardia
- broncodilator used for asthma and bronchospasms
- dnt give at HS- interrupts sleep patterns
- monitor BO and pulse
-
Phenylephrine
(Neo-Synephrine)
- SE:
- Palpitations
- HA
- Tachy
- hypertension
- dysrhymias
- angina
- tissue necrosis with extravasation
- Considerations:
- Potent alpha 1 agonist
- hypotension treater
-
Dobutamine hydrochloride
(Dobutrex)
- SE:
- hypertension
- PVCs
- Asthmatic episodes
- HA
- Considerations:
- stimulates beta 1 receptors
- incompatable with alkaline solutions(sodium bicarbinate)
- Central venous catheter or large per vein with infusion pump
- don't infuse through lines with other meds
- monitor EKG, BP, I&O, serum K
-
Milrinone
(Primior)
- SE:
- dysrhythmia
- thrombocytopenia
- jaundice
- Considerations:
- positive inotropic agent
- smooth muscle relaxant used for severe heart failure
-
Sodium nitroprusside
(Nitropress)
- Consideration:
- dilates cardiac veins and arteries
- decreases preload and afterload
- increases myocardial perfusion
-
Diphenhydramine HCL
(benedryl)
- SE:
- drowsiness
- confusion
- insomnia
- HA
- vertigo
- photosensitivity
- Considerations:
- Blocks effects of histamine on bronchioles, GI tract, and blood vessels
-
Nursing Considerations for Shock meds
- monitor VS
- measure UO
- Assess for extravasation
- Observe extremities for color and perfusion
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