Author Question: A client is prescribed a high-dose dopamine infusion. The nurse would expect to see an increase in ... (Read 35 times)

stock · **on:** Jul 23, 2018

A client is prescribed a high-dose dopamine infusion. The nurse would expect to see an increase in blood pressure because of dopamine's effect on which receptors?

1. Alpha-1 adrenergic receptors
2. Dopaminergic receptors
3. Beta-2 adrenergic receptors
4. Beta-1 adrenergic receptors

Question 2

A client diagnosed with narcolepsy is prescribed ephedrine, and asks the nurse how this medication will improve the problem. The nurse's response will be based on which physiologic concept?

1. Ephedrine will prevent any attacks of epilepsy.
2. Ephedrine can be easily destroyed by the enzymes in the synaptic cleft.
3. Ephedrine can easily cross the bloodbrain barrier.
4. Ephedrine cannot be easily absorbed through the intestinal tract.

dlook33 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Stimulation of alpha-1 adrenergic receptors by high doses of dopamine causes vasoconstriction and increased blood pressure.
Rationale 2: Dopamine at low doses stimulates dopaminergic receptors, especially in the kidneys, causing vasodilation and increased renal blood flow and urine output.
Rationale 3: Dopamine at high doses has no effect on beta-2 adrenergic receptors.
Rationale 4: Stimulation of beta-1 adrenergic receptors causes the heart to beat more forcefully, thus increasing cardiac output.
Global Rationale: Stimulation of alpha-1 adrenergic receptors by high doses of dopamine causes vasoconstriction and increased blood pressure. Dopamine at low doses stimulates dopaminergic receptors, especially in the kidneys, causing vasodilation and increased renal blood flow and urine output. Dopamine at high doses has no effect on beta-2 adrenergic receptors. Stimulation of beta-1 adrenergic receptors causes the heart to beat more forcefully, thus increasing cardiac output.

Answer to Question 2

Correct Answer: 3
Rationale 1: Ephedrine is not used for epilepsy.
Rationale 2: Ephedrine is a noncatecholamine; hence, it is not easily destroyed by the enzymes.
Rationale 3: Ephedrine is a noncatecholamine. Noncatecholamines are less polar than are catecholamines; hence, they are able to cross the bloodbrain barrier, cause stimulation of the brain cells, and keep the client awake and alert.
Rationale 4: Ephedrine can be taken orally and is easily absorbed through the intestinal tract because it is not easily destroyed by MAO or COMT.
Global Rationale: Ephedrine is a noncatecholamine. Noncatecholamines are less polar than are catecholamines; hence, they are able to cross the bloodbrain barrier, cause stimulation of the brain cells, and keep the client awake and alert. Ephedrine is not used for epilepsy and it is not easily destroyed by enzymes. Ephedrine can be taken orally and is easily absorbed through the intestinal tract because it is not easily destroyed by MAO or COMT.