Adrenergic Drugs Ch. 19, 20 week 6

Adrenergic drugs produce effects similar to which of the body's systems?

When an adrenergic drug stimulates β₁-adrenergic receptors, the result is an increased force of contraction, which is known as what type of positive effect?

When a patient is taking an adrenergic drug, the nurse expects to see which effect?

An adrenergic agonist is ordered for a patient in shock. The nurse notes that this drug has had its primary intended effect when which condition occurs?

Which condition is an indication for epinephrine (Adrenalin®)?

After a near-fatal motor vehicle accident, a family has given permission for their 6-year-old son's organs to be donated. Which medication will be given to the child to maintain the blood pressure in his organs until transplantation can be carried out?

During rounds, the nurse is assessing a patient who is receiving dobutamine for severe heart failure. The patient reports increasing chest pain and a sensation of anxiety. Her heart rate, which was 88, is now up to 110, and her blood pressure, which was 120/68, is now 150/98. What is the nurse's immediate assessment of the patient's condition?

A 14-year-old female patient has been treated for asthma for almost 4 months. Two weeks ago, she was given salmeterol xinafoate as part of her medication regimen. However, her mother has called the clinic to report that it does not seem to work when her daughter is experiencing acute symptoms. What does the nurse think in response to the mother's concerns?

A patient is experiencing a severe anaphylactic reaction to an antibiotic. Which drug would be used to treat this condition?

Inhaled salmeterol is indicated for which condition?

Adrenergic drugs that cause relaxation of the bronchi (i.e., bronchodilation) stimulate which receptors?

When an older adult is taking an adrenergic drug, what must the nurse carefully monitor?

Which are adrenergic receptor responses to stimulation? (Select all that apply.)

Which drug is used to help establish the diagnosis of pheochromocytoma?

A patient is going home with a new prescription for the β-blocker atenolol (Tenormin®). What important information should the nurse tell the patient about this drug?

A patient has been on a dopamine drip, and the nurse notices that the infusion has extravasated into the tissue of the forearm. After stopping the infusion, the nurse immediately injects phentolamine into the interstitial catheter. What is the effect of this action?

A 58-year-old male has had a myocardial infarction (MI). He has begun rehabilitation and is ready for discharge. When he is given a prescription for metoprolol (Lopressor®), he becomes upset and says, "I don't have high blood pressure! Why did my doctor give me this medicine?" What is the nurse's best explanation to the patient?

A patient has received a prescription for prazosin (Minipress) to reduce urinary obstruction due to benign prostatic hyperplasia (BPH). What important information about this medication should the nurse give this patient?

During an assessment, the nurse learns that her patient called to tell her that she had taken two double doses that morning because the headache just would not go away. The patient is now dizzy, nauseated, and very weak. What should the nurse do immediately?

Which β-blocker is indicated for the treatment of heart failure?

The nurse is teaching a patient about self-monitoring while taking a β-blocker at home. The nurse should teach the patient to measure apical pulse daily for 1 minute. What does the nurse instruct the patient to do if the pulse rate decreases to less than 60 beats per minute?

A 49-year-old male patient is in the clinic for a follow-up visit 6 months after starting a β-blocker for treatment of hypertension. During this visit, his blood pressure is 169/98 mm Hg, and he eventually confesses that he stopped taking this medicine 2 months ago because of an "embarrassing problem." What problem with this medication most likely caused him to stop taking it?

Indicate the appropriate medication in the top list for each condition listed in the lower list.