Exam (elaborations)
NCLEX Pharmacology - Nursing Considerations questions with complete solution
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NCLEX Pharmacology - Nursing Considerations questions with complete solution
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Norepinephrine-
ANSWER-Vasoconstrictor
to
increase
BP
and
CO
Reflex
bardycardia
may
occur
with
rise
in
BP
Monitor
urinary
output
Infuse
with
dextrose
solutions
NOT
saline
Monitor
BP
Protect
from
light
Dopamine
-
ANSWER-Low
dose:
dilates
renal
and
coronary
arteries
High
dose:
vasoconstrictor,
increases
myocardial
oxygen
consumption
HA
early
sign
of
excess
Monitor
BP,
UO,
and
peripheral
pulses
Epinephrine
-
ANSWER-Stimulates
alpha
and
beta
adrenergic
receptors
Monitor
BP
Check
dose:
1:100
inhalation,
1:1000
IM
or
SubQ
Ensure
adequate
hydration
Isoproterenol
-
ANSWER-Stimulates
beta-1
and
beta-1
adrenergic
receptors
Used
for
heart
block,
ventricular
arrhythmias,
and
bradycardia
Bronchodilator
used
for
asthma
and
bronchospasms
Interrupts
sleep
patterns
Monitor
BP
and
pulse
Phenylephrine
-
ANSWER-Potent
alpha
1
agonist
Test
hypotension
Dobutamine
hydrochloride
-
ANSWER-Stimulates
beta-1
receptors
Incompatable
with
alkaline
solutions
(HCO3),
don't
infuse
with
any
other
meds
Administer
through
CVC
or
large
peripheral
vein
Milrinone
-
ANSWER-Positive
inotropic
agent
Smooth
muscle
relaxant
used
to
treat
severe
heart
failure
Sodium
nitroprusside
-
ANSWER-Dilates
cardiac
veins
and
arteries
Decreases
preload
and
afterload
Increases
myocardial
perfusion
Keep
medication
in
dark
after
fixed
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