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dobutamine hcl (Dobutrex)

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c. Drug Study
Date
Ordered
(mm/dd/yy)
Generic
Name
(brand name)
CLASSIFICA
TION
DOSAGE
MECHANISM
OF ACTION
INDICATION
SIDE
EFFECTS/ADVE
RSE
EFFECTS
NURSING
IMPLICATIONS/RESPOSIB
LITIES
02/19/10
dobutamine
hcl
(Dobutrex)
Adrenergic
s
(sympatho
mimetics)
beta 1
selective
adrenergic
agonist
20ml
(280mg/
20ml)
IVTT
Stimulates
heart’s beta1
receptors to
increase
myocardial
contractility
and stroke
volume.
At therapeutic
dosages, drug
increases
cardiac output
by decreasing
peripheral
vascular
resistance,
reducing
ventricular
filling
pressure, and
facilitating AV
node
conduction.
To increase
cardiac
output
caused by
depressed
contractility
of the heart
Contraindicated
to
hypersensitivity
to other
sympatho
mimetic
amines,
ventricular
tachycardia.
CNS:
headache,
tremors,
Paresthesias,
mild
leg cramps,
nervousness
fatigue(with
over dose)
CV: increase
heart rate and
BP premature
ventricular
beats
palpitations
angina pain
GI: nausea,
vomiting
OTHER: non-
specific chest
pain,
shortness of
breath.
Give a plasma
volume expander
first before starting
dobutamine therapy
first to correct
hypovolemia.
Monitor the effects
of the medication
by monitoring ECG
and BP
continuously during
administration.
Observe patient
with pre-existing
hypertension
closely for
exaggerated
pressor infusion.
Monitor intake and
output ratio and
pattern.
Report angina pain
and report any
unusualities to the
physician.
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c. Drug Study
DATE
ORDERED
(mm/dd/yy)
GENERIC
NAME
(BRAND
NAME)
CLASSIFICA
TION
DOSAGE
MECHANISM
OF ACTION
INDICATION
SIDE
EFFECTS/ADVE
RSE
EFFECTS
NURSING
IMPLICATIONS/RESPOSIB
LITIES
02/19/10
famotidine
(Pepcid)
H2-
receptor
antagonist,
antiscretor
y
2omg
IVTT q
12 hr
Competitively
blocks the
action of
histamine at
the H2
receptors of
the parietal
cells of the
stomach;
inhibits basal
gastric acid
secretion and
chemically
induced
gastric acid
secretions.
Intractable
ulcerations
or hyper
secretory
conditions.
Contraindicated
in patient with
sensitivity to
drug or any of
its components.
CNS:
dizziness,
headache,
confusion,
depression.
GI:
constipation,
diarrhea.
SKIN: rash,
acne, pruritus,
dry skin,
flushing.
Assess creatinine
clearance before
treatment.
Assess patient GI
disorder before
starting therapy and
reassess regularly.
Be alert for adverse
reactions.
Give daily doses or
last dose of the day
at bedtime.
Take drug with food
tell patient/SO
taking 20mg BID to
take one dose HS.
Avoid over the
counter drugs to
treat heartburns.
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Date Ordered (mm/dd/yy) Generic Name (brand name) CLASSIFICATION DOSAGE MECHANISM OF ACTION INDICATION CONTRAINDICATION SIDE EFFECTS/ADVERSE EFFECTS NURSING IMPLICATIONS/RESPOSIBLITIES 02/19/10 dobutamine hcl (Dobutrex) Adrenergics (sympathomimetics) beta 1 selective adrenergic agonist 20ml (280mg/20ml) IVTT Stimulates heart’s beta1 receptors to increase myocardial contractility and stroke volume. At therapeutic dosages, drug increases cardiac output by decreasing peripheral vascular resistance, reducing ventricular filling pressure, and facilitating AV node conduction. To increase cardiac output caused by depressed contractility of the heart Contraindicated to hypersensitivity to other sympatho mimetic amines, ventricular tachycardia. CNS: headache, tremors, Paresthesias, mild leg cramps, nervousness fatigue(with over dose) CV: increase heart rate and BP premature ventricular beats palpitations angina pain GI: nausea, vomiting OTHER: non-specific chest pain, shortness of breath. Give a plasma volume expander first before starting dobutamine therapy first to correct hypovolemia. Monitor the effects of the medication by monitoring ECG and BP conti ...
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