administered isoproterenol monitor in patient should nurse report immediately quizlet

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Pharm Ch. 30-3 Flashcards | Quizlet

22 hours ago  · Isoproterenol is a beta-1 and beta-2 adrenergic receptor agonist indicated primarily for bradydysrhythmias. The administration and subsequent post-administration … >> Go To The Portal


A nurse is caring for an elderly patient who is to be administered isoproterenol. Which change monitored in the patient should the nurse report immediately to the primary health care provider? Explanation: The nurse should report any changes observed in pulse rate or rhythm immediately.

What is the role of Nursing in the administration of isoproterenol?

The pharmacist needs to verify dosing and perform thorough medication reconciliation. Nursing is at the front lines for entering patient medication history and also conducting the monitoring necessary when administering isoproterenol.

What should a nurse do when a 25-year-old client is given an adrenergic drug?

A nurse is caring for a 25-year-old client who is being given an adrenergic drug for shock. Which action should the nurse do? Continually assess the client for physiological changes and notify the primary care provider with changes.

What is the focus of this activity on isoproterenol?

This activity covers isoproterenol, including mechanism of action, pharmacology, adverse event profiles, eligible patient populations, contraindications, monitoring, and highlights the role of the interprofessional team in the management of isoproterenol therapy.

What are the side effects of isoproterenol in the ICU?

Isoproterenol can cause tachyarrhythmias and hypertension at high doses. When used in the ICU, the patient requires close monitoring. Because of the availability of pacemakers and other chronotropic drugs, the use of isoproterenol has diminished today. [13] Isoproterenol requires interprofessional collaboration for effective use.

What is the IV given to a client?

A client has an IV of dopamine administered in the right arm. The IV becomes dislodged from the vein and dopamine has been being given in the surrounding tissue instead of the vein. The nurse should stop the IV and: administer phentolamine (an alpha adrenergic blocking drug) to the site to minimize necrosis.

What happens if an IV is infiltrated?

The nurse realizes that if the IV is infiltrated, the medication will result in tissue extravasation. What is the reason for such an occurrence? The medication causes vasoconstriction, limiting the blood flow to the area.

What is isoproterenol used for?

The drug only has an application as an intravenous drip for severe bradycardia and cardiac arrest. It is sometimes used to manage hypovolemic shock and bronchospasm.

What is the interprofessional team for isoproterenol?

Isoproterenol requires interprofessional collaboration for effective use. The ordering clinician decides to use the drug, but the entire team is involved. This team includes specialists, as listed above, as well as pharmacists and other nursing staff.

What causes an increase in the slope of phase 4 of the cardiac pacemaker action potential?

In cardiac pacemaker cells, increased calcium causes an increase in the slope of phase 4 of the cardiac pacemaker action potential. By increasing the slope of phase 4, pacemaker cells reach the threshold at a faster rate, resulting in the characteristic increased heart rate seen in patients on an isoproterenol infusion.

Is isoproterenol a beta agonist?

Isoproterenol is a beta-1 and beta-2 adrenergic receptor agonist indicated primarily for bradydysrhythmias. The administration and subsequent post-administration monitoring of this medication are complex and necessitate an interprofessional approach to its usage.

What is the role of a nurse in an intensive care unit?

A nurse in the intensive care unit is caring for a client in shock and has started IV administration of dopamine (Intropin). For a client in shock, dopamine helps to: increase blood pressure. The nurse is teaching a client about safe use of adrenergic drugs.

What is the agent used to treat extravasation?

When planning this client's care, the nurse should include: frequent respiratory assessments. Phentolamine is the agent used to treat extravasation ...

What happens if an IV is infiltrated?

The nurse realizes that if the IV is infiltrated, the medication will result in tissue extravasation. What is the reason for such an occurrence? The medication causes vasoconstriction, limiting the blood flow to the area.