DOBUTAMINE HYDROCHLORIDE

Posted by: Admin

To receive automatic updates of Nursing News, Nursing Care Plans, Case Studies and the much awaited November 2008 Nursing Board Exam Result: click Subscribe to NursingCrib.com by Email or via RSS. If you have other topics to discuss, make a post on our Nursing Crib Forum. Thanks for visiting and enjoy your stay!

(doe-byoo’ta-meen)
Dobutrex
Classifications: autonomic nervous system agent; beta-adrenergic agonist; catecholamine
Prototype: Isoproterenol
Pregnancy Category: C

NURSING IMPLICATIONS

Assessment & Drug Effects

• Correct hypovolemia by administration of appropriate volume expanders prior to initiation of therapy.
• Monitor therapeutic effectiveness. At any given dosage level, drug takes 10–20 min to produce peak effects.
• Monitor ECG and BP continuously during administration.
• Note: Marked increases in blood pressure (systolic pressure is the most likely to be affected) and heart rate, or the appearance of arrhythmias or other adverse cardiac effects are usually reversed promptly by reduction in dosage.
• Observe patients with preexisting hypertension closely for exaggerated pressor response.
• Note: Tolerance has been observed with continuous or prolonged infusions; adverse reactions are no different than those seen with shorter infusions.
• Monitor I&O ratio and pattern. Urine output and sodium excretion generally increase because of improved cardiac output and renal perfusion.

Patient & Family Education

• Report anginal pain to physician promptly.
• Do not breast feed while taking this drug without consulting physician.

_____________________________________________________________________________________________

• EPINEPHRINE (ep-i-ne’frin) Bronkaid Mist, Epi-E-Zpen, Epinephrine Pediatric, EpiPen Auto-Injector, Primatene Mist Suspension EPINEPHRINE BITARTRATE AsthmaHaler, Bronkaid Mist Suspension, Bronitin Mist Suspension, Epitrate, Medihaler-Epi, Primatene Mist Suspension EPINEPHRINE HYDROCHLORIDE Adrenalin Chloride, Bronkaid Mistometer, Dysne-Inhal, Epifrin, Glaucon, SusPhrine   NURSING IMPLICATIONS Assessment & Drug Effects Monitor BP, pulse, respirations, and urinary output and observe patient closely following IV
• DOPAMINE HYDROCHLORIDE (doe’pa-meen) Dopastat, Intropin, Revimine  Classifications: autonomic nervous system agent; alpha- and beta-adrenergic agonist (sympathomimetic) Prototype: Epinephrine Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Monitor blood pressure, pulse, peripheral pulses, and urinary output at intervals prescribed by physician. Precise measurements are essential for accurate titration of
• FUROSEMIDE (fur-oh’se-mide) Fumide , Furomide , Lasix, Luramide  Classifications: electrolytic and water balance agent; loop diuretic Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Observe patients receiving parenteral drug carefully; closely monitor BP and vital signs. Sudden death from cardiac arrest has been reported. Monitor BP during periods of
• CEPHALEXIN (sef-a-lex’in) Cefanex, Ceporex_A, Keflet, Keflex, Keftab, Novolexin_A Classifications: antiinfective; antibiotic; first-generation cephalosporin Prototype: Cefazolin Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Determine history of hypersensitivity reactions to cephalosporins and penicillin and history of other drug allergies before therapy is initiated. Lab tests: Evaluate renal and hepatic
• NIFEDIPINE (nye-fed’i-peen) Adalat, Adalat CC, Procardia, Procardia XL Classifications: cardiovascular agent; calcium channel blocker; antiarrhythmic (class iv); nonnitrate vasodilator Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Monitor BP carefully during titration period. Patient may become severely hypotensive, especially if also taking other drugs known to lower BP.