Phentolamine Flashcards
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Questions and Answers

What is the drug class of Phentolamine?

Alpha-blocker

What is the mechanism of action (MOA) of Phentolamine?

Direct competition

Which of the following are indications for Phentolamine? (Select all that apply)

  • Hypertension (correct)
  • Asthma
  • Cardiac arrest
  • Extravasation of vasopressors (correct)
  • Which of the following are contraindications for Phentolamine? (Select all that apply)

    <p>Hepatic and renal disease</p> Signup and view all the answers

    What are the effects of Phentolamine?

    <p>Peripheral vasodilation, reduce peripheral vasoconstriction, restore blood flow to ischemic tissue</p> Signup and view all the answers

    Which of the following are adverse effects of Phentolamine? (Select all that apply)

    <p>Orthostatic hypotension</p> Signup and view all the answers

    What nursing consideration should be taken when administering Phentolamine?

    <p>Monitor BP</p> Signup and view all the answers

    Which of the following are drug interactions with Phentolamine? (Select all that apply)

    <p>Epinephrine</p> Signup and view all the answers

    Study Notes

    Phentolamine

    • Class: Alpha-blocker, which inhibits alpha-adrenergic receptors.

    Mechanism of Action (MOA)

    • Works through direct competition with catecholamines for binding sites on alpha receptors.

    Indications

    • Utilized in cases of vasopressor extravasation to mitigate tissue damage.
    • Effective in the management of hypertension.

    Contraindications

    • Not recommended for patients with peripheral vascular disease due to potential worsening of blood flow.
    • Should be avoided in individuals with hepatic and renal impairment.
    • Caution in patients with coronary artery disease.
    • Contraindicated in those with gastric ulcers because of potential exacerbation.
    • Not suitable for individuals with sepsis, as this can complicate treatment.

    Effects

    • Leads to peripheral vasodilation, aiding in the reduction of excess vasoconstriction.
    • Facilitates restoration of blood flow to ischemic tissues, promoting healing.

    Adverse Effects

    • First dose phenomenon can occur, resulting in a significant and rapid drop in blood pressure.
    • Patients may experience orthostatic hypotension, leading to dizziness upon standing.
    • Common side effects include headaches and constipation.

    Nursing Considerations

    • Continuous monitoring of blood pressure is crucial to avoid complications and ensure patient safety.

    Drug Interactions

    • Caution when used with beta-blockers, as they can counteract therapeutic effects.
    • Alcohol may enhance side effects and lead to increased sedation.
    • Concurrent use with erectile dysfunction medications can lead to severe hypotension.
    • Care required with epinephrine administration due to risk of profound hypertension.

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    Description

    Este quiz consiste en fichas de referencia sobre Phentolamine, un bloqueador alfa utilizado en varias condiciones médicas. A través de estas preguntas, aprenderas sobre su mecanismo de acción, indicaciones, contraindicaciones y efectos. Ideal para estudiantes de medicina y farmacología.

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