Unit 4
Indication Nursing Implications &
Pharmacologic Drug Class Action Drug Examples Adverse Reactions Side Effects
(Areas of Use) Patient Education
Hypertension Monitor vital signs/ECG at base
and after administration.
Sweating Closely monitor IV site.
Directly stimulates both Palpitations Massage site after IM/SQ dos
Alpha and Beta Tachycardia
receptors of the Tachycardia Nervousness Monitor blood glucose levels
Adrenergic Agonist Sympathetic Nervous
Review Nursing System. Anaphylaxis Hypertension GI Disturbances Close monitoring of pregnant wo
Epinephrine cardiac disease, diabetes, older ad
Process pg. 182 & Results in increase in Cardiac Arrest MI
Dry mouth closed angle glaucoma
Prototype pg. 180 cardiac stimulation, Tremor/Agitation
Patient Teaching –
bronchodilation, cardiac Ventricular Fibrillation Educate diabetics; Prepare patient
output, and blocks Headaches
anxiety and/or palpitations. Report ch
release of histamine. Dyspnea Hyperglycemia
in urine output. Strategies for managin
mouth. Wear a medical alert bracele
keep EpiPen with you at all times – u
Oliguria
first sign of symptoms. How to inj
Dizziness Monitor vital signs prior to and
administration. Pay specific atten
Orthostasis to apical HR and rhythm.
Safety precautions!
Atenolol Sweating
Selectively blocks (Beta-Blocker: - Contraindicated in patients wi
Bradycardia
beta1-adrenergic olol) Hypertension Depression - bradycardia, heart block, pregna
receptor sites (heart), Emotional bronchospasms/COPD.
Tachycardia Monitor diabetics.
Adrenergic Blocker decreases sympathetic Tachycardia Fatigue
outflow to the periphery,
Review Nursing suppresses renin-
Hypotension Patient Teaching –
Angina Headaches Diabetics need to check blood su
Process pg. 185 & angiotensin-aldosterone frequently.
Heart failure
Prototype pg. 183 system. GI Upset Change positions slowly.
Mild/Mod Heart Do not stop abruptly!
Failure Dyspnea
Results in decreased HR Memory Loss – Anticipate libido.
and BP. Inability to How to monitor BP and HR. Dis
concentrate parameters with provider. Do not
until the response to medication
Cool Extremities known.
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