Assessment
In addition to blood pressure, this cardiovascular assessment should be performed prior to administering a beta adrenergic antagonist drug.
What is apical pulse (heart rate)
A nursing diagnosis indicating lack of understanding by the patient about a drug.
What is knowledge deficit?
Outcome criteria: The patient will maintain a heart rate in the normal range of ___ to _____ BPM
What is 60-100 BPM?
A nursing action to ascertain that an IV drug can safely be administered through a line used for continuous infusion of maintenance IV fluids.
What is check for compatibility?
A nursing action to monitor the effectiveness of epinephrine in relieving the respiratory effects of anaphylaxis.
What is auscultation of lung sounds? (alt: what is O2 saturation?)
The respiratory symptom associated with anaphylaxis
What is bronchospasm (wheezing)
A nursing diagnosis related to the the possibility of a fracture due to the effects of hypotension and/or bradycardia caused by beta-adrenergic antagonist drugs.
What is risk for injury (falls)?
Oxygen saturation of 93% or greater indicates the patient has achieved which outcome criteria/nursing goal?
What is adequate gas exchange? (alt: what is adequate airway clearance)
A nursing action to prevent injury related to getting out of bed for a patient taking a beta-adrenergic antagonist drug for treatment of hypertension.
What is side rails up (bed in low position)?
A nursing action to monitor for hemodynamic (cardiovascular) adverse effects of an alpha-adrenergic drug.
What is monitoring blood pressure (orthostatic blood pressure)?
The component of the assessment that determines if the medication can be safely stored in the home.
What is environment?
A nursing diagnosis related to decreased blood flow to vital organs after administration of a cholinergic agonist drug.
What is decreased cardiac output?
Nursing goal/outcome criteria related to used of anticholinergic medication to manage urinary incontinence.
What is: The patient will empty the bladder fully without episodes of incontinence or leaking?
A nursing intervention to ensure safe and effective home management of use of a cholinergic agonist drug.
What is patient education?
A nursing action to assess the effectiveness of a cholinergic agonist drug to improve post-operative peristalsis.
What is auscultation of bowel sounds.
A list of all medications currently being taken by a patient.
What is medication reconciliation? (medication history)
A nursing diagnosis related to a patient's inconsistent or incorrect use of adrenergic antagonist drugs, sometimes due to adverse effects or insufficient patient education.
What is noncompliance?
Nursing goal/outcome that demonstrates effective measures to prevent the constipating effects of anticholinergic medications.
What is: The patient will maintain a normal bowel elimination pattern, have comfortable bowel movements without straining.
A nursing action to prevent compromised cardiac output related to administration of a beta-adrenergic antagonist drug.
What is check apical pulse and blood pressure.
A sign/symptoms indicating that a cholinergic agonist given to treat Alzheimer's dementia is having the desired therapeutic effect.
What is: the patient is able to perform ADLs unassisted (alt: the patient has improved cognition, participates in social activities, conversation, etc.)
A pre-existing intestinal symptom that may be worsened by the administration of a cholinergic antagonist (anticholinergic) drug.
What is constipation?
Nursing diagnosis related to inablity to take air into the lungs due to bronchoconstrictive effects of beta 2 adrenergic antagonist drugs
What is ineffective airway clearance? (alt: What is impaired gas exchange?)
This outcome criterion indicates effective renal perfusion with administration of dopamine for cardiogenic shock.
What is: The patient will produce normal urine output of at least 30 ml per hour.
A nursing action to enhance the effects of cholinergic agonist drugs in the treatment/prevention of post-operative constipation.
What is early postoperative ambulation? (alt: increase fluids and fiber)
A nursing assessment finding that indicates that a cholinergic antagonist drug is having an adverse effect on normal oral secretions.
What is dry mouth?