Author Question: A patient is receiving dobutamine (Dobutrex) as a continuous infusion. Monitoring of the ... (Read 61 times)

ashley · **on:** Jul 23, 2018

A patient is receiving dobutamine (Dobutrex) as a continuous infusion. Monitoring of the effectiveness of this medication is based on which assessment findings? (Select all that apply.)

a. Heart rate
b. Blood pressure
c. Urine output
d. Body temperature
e. Uterine contractions

Question 2

A nurse is reviewing a patient's medications. When given concurrently with epinephrine (Adrenalin), which drugs may precipitate a hypertensive crisis?

a. Beta blockers
b. Diuretics
c. Alpha1-adrenergic blockers
d. Monoamine oxidase inhibitors

SeanoH09 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, B, C
Indications for beta1 activation include heart failure, cardiac arrest, and shock, all of which would affect the heart rate, blood pressure, and urine output. Dobutamine's effectiveness would be measured by assessing for and observing positive outcomes in these findings.
Temperature and uterine contractions would not be affected.

Answer to Question 2

ANS: D
Monoamine oxidase inhibitors can intensify the vasoconstrictive effects of epinephrine on the heart and blood vessels, therefore their administration together would be contraindicated.
Beta blockers are vasodilators and would not likely precipitate a hypertensive crisis when administered with epinephrine.
Diuretics can complement the beneficial effects of dopamine on the kidney.
Alpha1-adrenergic blockers would cause vasodilation and would not likely precipitate a hypertensive crisis when administered with epinephrine.