75%(4)Il 75% ha trovato utile questo documento (4 voti)
4K visualizzazioni3 pagine
Dobutamine is used to treat heart failure caused by depressed contractility from organic heart disease or surgical procedures. It is Contraindicat ed in: Hypersensitivit y to dobutamine or bisulfites Idiopathic hypertrophic subaortic stenosis Use Cautiously in: History of hypertension (increased risk of exaggerated pressor response) MI Atrial fibrillation (pretreatment with digitalis glycosides recommended)
Dobutamine is used to treat heart failure caused by depressed contractility from organic heart disease or surgical procedures. It is Contraindicat ed in: Hypersensitivit y to dobutamine or bisulfites Idiopathic hypertrophic subaortic stenosis Use Cautiously in: History of hypertension (increased risk of exaggerated pressor response) MI Atrial fibrillation (pretreatment with digitalis glycosides recommended)
Copyright:
Attribution Non-Commercial (BY-NC)
Formati disponibili
Scarica in formato DOC, PDF, TXT o leggi online su Scribd
Dobutamine is used to treat heart failure caused by depressed contractility from organic heart disease or surgical procedures. It is Contraindicat ed in: Hypersensitivit y to dobutamine or bisulfites Idiopathic hypertrophic subaortic stenosis Use Cautiously in: History of hypertension (increased risk of exaggerated pressor response) MI Atrial fibrillation (pretreatment with digitalis glycosides recommended)
Copyright:
Attribution Non-Commercial (BY-NC)
Formati disponibili
Scarica in formato DOC, PDF, TXT o leggi online su Scribd
Name of Dosage/ Action Indication Contraindicat Adverse Nursing
Drug Route ion Reaction/ Side Consideration Effects Dobutami 2amp Stimulates Short-term Contraindicat CNS: headache. • Explain to ne incorporat beta1(myocardial)- (<48 hr) ed in: patient the ed in the adrenergic management Resp: shortness rationale for IV fluid receptors with of heart failure • of breath. instituting this relatively minor caused by Hypersensitivit medication and effect on heart depressed y to CV: the need for rate or peripheral contractility dobutamine or hypertension, frequent blood vessels from organic bisulfites increased heart monitoring heart disease rate, premature Therapeutic or surgical • Idiopathic ventricular • Advise patient Effect(s): procedures hypertrophic contractions, to inform nurse Increased cardiac subaortic angina pectoris, immediately if output without stenosis arrhythmias, chest pain; significantly hypotension, dyspnea; or increased heart Use palpitations. numbness, rate Cautiously in: tingling, or GI: nausea, burning of • History of vomiting. extremities hypertension occurs (increased risk Local: phlebitis. of exaggerated • Instruct patient pressor Misc: to notify nurse response) hypersensitivity immediately of reactions pain or including skin discomfort at the • MI rash, fever, site of bronchospasm administration • Atrial or eosinophilia, fibrillation nonanginal • Home Care (pretreatment chest pain Issues: Instruct with digitalis glycosides caregiver on recommended) proper care of IV equipment • History of ventricular » Instruct atopic activity caregiver to (may be report signs of exacerbated) worsening CHF (shortness of • Hypovolemia breath, (correct before orthopnea, administration) decreased exercise tolerance),