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3312 #3
Cardiovascular Drugs- Antishock
Question | Answer |
---|---|
clinical syndrome characterized by decreased blood supply to body tissues | shock |
drugs used to treat hypotension and shock | antishock drugs |
How do antishock drugs work | 1. work to vasoconstrict and get blood where it needs to be 2. body works to get oxygenated blood to vital organs, so extremeties become very cold 3. brain doesn't get adequate perfusion |
Characteristics of antishock drugs include | 1. low tissue perfusion 2. very low B/P 3. tachycardia 4. low urine output 5. cold/clammy skin |
How do antishock drugs affect urinary output | the body is trying to get more fluids to vital organs, therefore there will be decreased urine production |
therapeutic goal of antishock drugs | to restore/maintain adequate tissue perfusion |
actions of antishock | 1. vasoconstriction 2. increase contractility and HR 3. decreased urine production |
ensure these meds don't seep into surrounding tissues or may cause | tissue necrosis |
common adverse effects | 1. hypertension 2. tachycardia, other arrhthmias 3. local tissue necrosis (with vasoconstriction) |
norepinephrine is classified as what kind of antianginal | alpha adrenergic agonist |
is alpha adrenergic agonist a vasocontrictor or vasodilator | vasoconstrictor |
unique features of alpha adrenergic agonist (norepinephrine) | reduces renal blood flow |
mechanisms of beta adrenergic agonist (dubotamine) | increase myocardial contractility and heart rate |
beta adrenergic agonist (dobutamine) is used for | cardiogenic shock |
dobutamine is classified as which type of antishock drug | beta adrenergic agonist |
mechanisms of alpha and beta adrenergic agonist (dopamine and epinephrine) | vasoconstriction increased myocardial contractility and heart rate |
epinephrine is used to treat | analphylactic shock |
dopamine causes variable effects, what are they | large dose causes vasoconstriction smaller dose cause more myocardial contractility |
alpha/beta adrenergic agonists are used to treat | anaphylaxis |
alpha/beta adrenergic agonists requires | adequate fluid replacement |