NCLEX MEDS (Shock, Cardiac Arrest, and Anaphlaxis)

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rwilliams144
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229389
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NCLEX MEDS (Shock, Cardiac Arrest, and Anaphlaxis)
Updated:
2013-08-07 00:22:45
Tags:
Shock Cardiac Arrest Anaphlaxis
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Shock, Cardiac Arrest, and Anaphlaxis
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  1. Drugs used for Shock, Cardiac Arrest and Anaphlaxis
    • Levophid
    • Inotropin
    • Adrenalin
    • Isuprel
    • Sudafed
    • Neo-synephrine
    • Dobutrex
  2. 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
  3. 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.
  4. 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
  5. 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
  6. Phenylephrine
    (Neo-Synephrine)
    • SE:
    • Palpitations
    • HA
    • Tachy
    • hypertension
    • dysrhymias
    • angina
    • tissue necrosis with extravasation

    • Considerations:
    • Potent alpha 1 agonist
    • hypotension treater
  7. 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
  8. Milrinone
    (Primior)
    • SE:
    • dysrhythmia
    • thrombocytopenia
    • jaundice

    • Considerations:
    • positive inotropic agent
    • smooth muscle relaxant used for severe heart failure
  9. Sodium nitroprusside
    (Nitropress)
    • SE:
    • Hypotension

    • Consideration:
    • dilates cardiac veins and arteries
    • decreases preload and afterload
    • increases myocardial perfusion
  10. Diphenhydramine HCL
    (benedryl)
    • SE:
    • drowsiness
    • confusion
    • insomnia
    • HA
    • vertigo
    • photosensitivity

    • Considerations:
    • Blocks effects of histamine on bronchioles, GI tract, and blood vessels
  11. Nursing Considerations for Shock meds
    • monitor VS
    • measure UO
    • Assess for extravasation
    • Observe extremities for color and perfusion

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