A patient who was administered prazosin (Minipress) became unconscious 30 minutes after the first dose. What medications should the nurse prepare for resuscitation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Normal saline
2. Dobutamine
3. Atenolol (Tenormin)
4. Carvedilol (Coreg)
5. Propranolol (Inderal)
1,2
Rationale 1: Unconsciousness after the first dose of prazosin (Minipress) is typically due to severe hypotension. Normal saline can be used as a volume expander.
Rationale 2: Unconsciousness after the first dose of prazosin (Minipress) is typically due to severe hypotension. Treatment with a vasopressor such as dobutamine may be indicated.
Rationale 3: Atenolol (Tenormin) is an adrenergic blocker and would exacerbate the problem.
Rationale 4: Carvedilol (Coreg) is an adrenergic blocker and would exacerbate the problem.
Rationale 5: Propranolol (Inderal) is an adrenergic blocker and would exacerbate the problem.
Global Rationale: Unconsciousness after the first dose of prazosin (Minipress) is typically due to severe hypotension. Normal saline can be used as a volume expander. Treatment with a vasopressor such as dobutamine may be indicated. Atenolol (Tenormin), carvedilol (Coreg), and propranolol (Inderal) are adrenergic blockers and would exacerbate the problem.
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