Gallaron, Ma.

Geraldine
Renal Center

Name of Drug/
Actions Side Effecs Contraindication Indications Nursing Responsibilities
Generic

Naturally occurring CV: Hypotension, Pheochromocytom To correct hemodynamic Assessment & Drug Effects
neurotransmitter ectopic beats, a; imbalance in shock syndrome • Monitor blood pressure, pulse,
and immediate tachycardia, tachyarrhythmias due to MI (cardiogenic peripheral pulses, and urinary
precursor of anginal pain, or ventricular shock), trauma, endotoxic output at intervals prescribed by
physician. Precise
norepinephrine. palpitation, fibrillation. Safe septicemia (septic shock),
measurements are essential for
Major vasoconstriction use during open heart surgery, and CHF. accurate titration of dosage.
DOPAMINE cardiovascular (indicated by pregnancy • Report the following indicators
HYDROCHLORIDE effects produced disproportionate (category C), promptly to physician for use in
(doe'pa-meen) by direct action on rise in diastolic lactation, or decreasing or temporarily
alpha- and beta- pressure), cold children is not suspending dose: Reduced urine
Dopastat, Intropin, adrenergic extremities; less established. flow rate in absence of
Revimine receptors and on frequent: aberrant hypotension; ascending
specific conduction, tachycardia; dysrhythmias;
dopaminergic bradycardia, disproportionate rise in diastolic
receptors in widening of QRS pressure (marked decrease in
pulse pressure); signs of
mesenteric and complex, elevated
peripheral ischemia (pallor,
renal vascular blood pressure. GI: cyanosis, mottling, coldness,
beds. Nausea, vomiting. complaints of tenderness, pain,
CNS: Headache. numbness, or burning
Classification Skin: Necrosis, sensation).
tissue sloughing • Monitor therapeutic
with extravasation, effectiveness. In addition to
gangrene, improvement in vital signs and
piloerection. Other: urine flow, other indices of
Azotemia, dyspnea, adequate dosage and perfusion
of vital organs include loss of
AUTONOMIC dilated pupils (high
pallor, increase in toe
NERVOUS SYSTEM doses). temperature, adequacy of nail
AGENT; ALPHA- AND
bed capillary filling, and reversal
BETA-ADRENERGIC
of confusion or comatose state.
AGONIST
(SYMPATHOMIMETIC)
Gallaron, Ma. Geraldine
Renal Center

Name of Drug/
Actions Side Effecs Contraindication Indications Nursing Responsibilities
Generic

Stimulates heat’s CNS: headache Contraindicated in Increase cardiac output in Before starting therapy, give
beta1 receptors to CV: hypertension, patients short-tern treatment of a plasma volume to correct
increase increased heart hypersensitive to cardiac decompensation hypovolemia an a cardiac
myocardial rate drug or its cause by depressed glycoside
contractility and components and in contractility, such as during Continuously monitor ECG,
stroke volume. At those w/ idiopathic refractory heart failure; blood pressure, pulmonary
therapeutic hypertrophic adjunctive therapy in cardiac artery wedge pressure,
dosages, drug subaortic stenosis surgery cardiac output and urine
Dobutamine increases cardiac output
Hydrochloride output by
decreasing
peripheral vascular
resistance,
reducing
ventricular filling
pressure, and
facilitating AV node
conduction

Classification
Gallaron, Ma. Geraldine
Renal Center

Name of Drug/
Actions Side Effecs Contraindication Indications Nursing Responsibilities
Generic

Heparin

Classification
 Gallaron, Ma. Geraldine
Renal Center

Responsibilities

& Drug Effects

ood pressure, pulse,
pulses, and urinary
tervals prescribed by
recise
nts are essential for
ration of dosage.
e following indicators
physician for use in
or temporarily
dose: Reduced urine
absence of
n; ascending
; dysrhythmias;
nate rise in diastolic
marked decrease in
ure); signs of
schemia (pallor,
ottling, coldness,
of tenderness, pain,
or burning

herapeutic
ss. In addition to
nt in vital signs and
other indices of
osage and perfusion
ns include loss of
ase in toe
e, adequacy of nail
y filling, and reversal
n or comatose state.
 Gallaron, Ma. Geraldine
Renal Center

Responsibilities

rting therapy, give

olume to correct
mia an a cardiac

sly monitor ECG,

sure, pulmonary
ge pressure,
tput and urine
 Gallaron, Ma. Geraldine
Renal Center

Responsibilities