Page 1790 - Saunders Comprehensive Review For NCLEX-RN

11. Monitor respiratory, thyroid, and neurological
functions.
12. Instruct the client to change positions slowly to
minimize orthostatic hypotension.
13. Instruct the client taking amiodarone to use sunscreen
and protective clothing to prevent photosensitivity
reactions.
14. Encourage the client to increase fiber intake to prevent
constipation.
XVII. Adrenergic Agonists (Box 53-18)
A. Dobutamine
1. Increases myocardial force and cardiac output through
stimulation of β-receptors
2. Used in clients with heart failure and for clients
undergoing cardiopulmonary bypass surgery

B. Dopamine

1. Increases BP and cardiac output through positive
inotropic action and increases renal blood flow
through its action on α- and β-receptors
2. Used to treat mild kidney failure caused by low
cardiac output
C. Epinephrine
1. Used for cardiac stimulation in cardiac arrest
2. Used for bronchodilation in asthma or allergic
reactions
3. Produces mydriasis
4. Produces local vasoconstriction when combined with
local anesthetics and prolongs anesthetic action by
decreasing blood flow to the site
D. Norepinephrine
1. Stimulates the heart in cardiac arrest
2. Vasoconstricts and increases the BP in hypotension
and shock

E. Side and adverse effects

1. Dysrhythmias
2. Tachycardia
3. Angina
4. Restlessness
5. Urgency or urinary incontinence

F. Interventions

1. Monitor vital signs.
2. Monitor lung sounds.
3. Monitor urinary output.
4. Monitor electrocardiogram.

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