ATI template- Dobutamine PDF

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Download ATI template- Dobutamine PDF

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ACTIVE LEARNING TEMPLATE:

Medication

Miriam Velez Sanchez ST UDENT NAME _____________________________________ Dobutamine MEDICATION __________________________________________________________________________

REVIEW MODULE CHAPTER ___________

inotropics/adrenergics CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Increased heart rate, increased myocardial contractility and cardiac output. Increased rate of conduction through AV node

Therapeutic Use Heart failure

Complications hypertension, increased heart rate, premature ventricular contractions, hypotension, headache, nausea, vomiting, shortness of breath, arrhythmias, palpitations

Contraindications/Precautions Dobutamine is pregnancy risk category B. Use cautiously in clients who have hyperthyroidism, angina, history of myocardial infarction, hypertension, and diabetes.

Medication Administration Must be IV only. Administer with a continuous infusion. Dosage titrated on blood pressure response. Stop the infusion if evidence of infiltration. Assess for chest pain. Monitor urine output for indications of decreased kidney perfusion. Monitor ECG (notify provider for tachycardia or dysrhythmias. Monitor perfusion to extremities. Monitor cardiac output, pulmonary capillary wedge pressure, and central venous pressure.

Nursing Interventions Provide continuous cardiac monitoring. Report changes in vital signs to the provider. Do not confuse with dopamine

Interactions MAOIs can cause cardiotoxicity. Tricyclic antidepressants block the reuptake. General anesthetics can cause the heart to become hypersensitive causing dysrhythmias

Client Education Evaluation of Medication Effectiveness depending on the intent, effectiveness is evidenced by improved perfusion (UO >30 mL/hr), improved mental status, systolic blood pressures greater than or equal to 90 mm Hg. Increase in cardiac output.

ACTIVE LEARNING TEMPLATES

Advise the client to inform the nurse immediately if pain or discomfort at the site of administration. Advise the client to inform the nurse immediately if dyspnea, numbness, tingling, or burning of the extremities occurs...