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Exam (elaborations)

GCC Nursing Medications - Block 2: Med- Surg

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GCC Nursing Medications - Block 2: Med- Surg Epinephrine (EpiPen) - answerBronchodilators Adrenergics 1. action: stimulates nervous system, causing bronchodilation. Sympathomimetic, meaning it mimics the effects of the sympathetic nervous sytem. 2. indications (give if): severe allergic reacti...

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  • September 17, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • GCC Nursing
  • GCC Nursing
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GCC Nursing Medications - Block 2: Med-
Surg


Epinephrine (EpiPen) - answer✔Bronchodilators Adrenergics


1. action: stimulates nervous system, causing bronchodilation. Sympathomimetic, meaning it
mimics the effects of the sympathetic nervous sytem.


2. indications (give if): severe allergic reaction


3. contraindications (don´t give if): heart attack, hypothermia, hypertension


4. dose: pediatric--- 0.15 mg
adult--- 0.30 mg

Albuterol (Proventil) - answer✔Bronchodilators Adrenergics


CLASS: sympathomimetic (Beta 2 selective)


ACTIONS: Short-Acting bronchodilation


INDICATIONS: asthma, reversible bronchospasm associated with COPD


CONTRAINDICATIONS: symptomatic tachycardia, known hypersensitivity to drug

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PRECAUTIONS: Tachycardia & Tremors. BP, HR, and ECG results should be monitored, use
caution in patients with known heart disease


SIDE EFFECTS: palpitations, anxiety, headache, dizziness, sweating


ROUTE: inhalation (via NEB)


ADULT DOSAGE: 0.5 mL (2.5 mg) in 2.5 mL of NaCl over 5-15 mins via NEB


PEDIATRIC DOSAGE: 0.15 mg/kg (0.03 mL/kg) in 2.5 mL normal saline via NEB

Phentolamine Mesylate (Regitine) - answer✔Agents for pheochromocytoma
Alpha 1 adrenergic antagonist (blocker)


NOTE: Given for catecholamine crisis...


INDICATIONS: Prevention or treatment of dermal necrosis and sloughing following intravenous
admin or extravasation of norephinephrine and Dilatin.


AC TIONS: Decreases peripheral vascular resistance, treats hypertension, treats infiltration of
dopamine/dobutamine, and is cardioselective


During assessment of a patient diagnosed with pheochromocytoma, the nurse auscultates a blood
pressure of 210/110 mm Hg. The nurse would expect to administer which medication?

pheochromocytoma - answer✔a rare, benign tumor of the adrenal gland that causes too much
release of epinephrine and norepinephrine, which are the hormones that regulate heart rate and
blood pressure




This hypersecretion of epi/norepi cause:
Persistent HTN, increased HR, hyperglycemia, diaphoresis, tremor, pounding HA;

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