ATI Medication template Dobutamine PDF

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ATI Medication template ...

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ACTIVE LEARNING TEMPLATE:

Medication

STUDENT NAME _____________________________________

Dobutamine MEDICATION __________________________________________________________________________

REVIEW MODULE CHAPTER ___________

cardiac glycoside CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action -ncreased heart rate -increased myocardial contractility and CO -increased rate of conduction through the AV node.

Therapeutic Use to treat heart failure

Complications increased heart rate

Medication Administration IV continuous infusion -dilute concentrate before injecting w/ D5W, D10W,LR's

Contraindications/Precautions pregnancy risk category B -use cautiously in clients who hyperthyroidism, angina, history of myocardial infarction, hypertension and diabetes.

Nursing Interventions continuous cardiac monitoring -report changes of vital signs to provider

Interactions thiazide diuretics and loop diuretics can lead to hypokalemia, increasing risk for dysrhythmias -tricyclic antidepressants will prolong and intensify effects of epinephrine -general anesthetics can cause heart to become hypersensitive leading to effects of dysrhythmias.

Client Education Evaluation of Medication Effectiveness effectiveness is evidenced by: control of heart failure & absence of cardiac dysrhythmias.

ACTIVE LEARNING TEMPLATES

-tell patient to report all adverse reactions promptly, especially labored breathing, angina, palpitations, dizziness, headache.

THERAPEUTIC PROCEDURE

A7...