The nurse is concerned that a client receiving epinephrine is ...

[Sufayan.ah]

The nurse is concerned that a client receiving epinephrine is experiencing autonomic nervous system adverse effects when which items are found on assessment?
 
  Standard Text: Select all that apply.
  1. Tachycardia
  2. Ventricular dysrhythmia
  3. Elevated blood pressure
  4. Elevated blood glucose level
  5. Flaccid paralysis

Question 2

A client is prescribed isoproterenol for ventricular dysrhythmia. Which concurrent medication order would cause the nurse to question the order for isoproterenol?
 
  1. Analgesic
  2. MAO inhibitor
  3. Cardiac glycoside
  4. Anti-inflammatory drug

[potomatos]

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: Tachycardia is an autonomic nervous system adverse effect of epinephrine.
Rationale 2: Ventricular dysrhythmia is an autonomic nervous system adverse effect of epinephrine.
Rationale 3: Hypertension is an autonomic nervous system adverse effect of epinephrine.
Rationale 4: Elevated blood glucose level is an autonomic nervous system adverse effect of epinephrine.
Rationale 5: Flaccid paralysis is not an autonomic nervous system adverse effect of epinephrine.
Global Rationale: Tachycardia, ventricular dysrhythmia, hypertension, and hyperglycemia are autonomic nervous system adverse effects of epinephrine. Flaccid paralysis is not an autonomic nervous system adverse effect of epinephrine.

Answer to Question 2

Correct Answer: 2
Rationale 1: Analgesics do not affect any action of isoproterenol.
Rationale 2: Isoproterenol is metabolized by COMT and MAO in the liver; hence MAO inhibitors should be discontinued two weeks prior to isoproterenol therapy to prevent hypertensive crisis.
Rationale 3: Cardiac glycosides do not affect any action of isoproterenol.
Rationale 4: Anti-inflammatory drugs do not affect any action of isoproterenol.
Global Rationale: Isoproterenol is metabolized by COMT and MAO in the liver; hence MAO inhibitors should be discontinued two weeks prior to isoproterenol therapy to prevent hypertensive crisis. Analgesics, cardiac glycosides, and anti-inflammatory drugs do not affect any action of isoproterenol.

[Sufayan.ah]

Both answers were spot on, thank you once again

[potomatos]

Great! Please up vote