The physician orders dopamine (Intropin) intravenous (IV) for the patient in shock. What is a priority plan of the nurse with regard to administration of this drug?
1. Have phentolamine (Regitine) available in the room.
2. Have naltrexone (Revia) available in the room.
3. Have epinephrine (Adrenalin) available in the room.
4. Have flumazenil (Romazicon) available in the room.
1
Rationale 1: Extravasation of dopamine (Intropin) can cause severe, localized vasoconstriction resulting in tissue necrosis. The antidote for this is phentolamine (Regitine).
Rationale 2: Naltrexone (Revia) is used for opiate overdose.
Rationale 3: Epinephrine is used for anaphylaxis.
Rationale 4: Flumazenil (Romazicon) is used for benzodiazepine overdose.
Global Rationale: Extravasation of dopamine (Intropin) can cause severe, localized vasoconstriction resulting in tissue necrosis. The antidote for this is phentolamine (Regitine). Epinephrine is used for anaphylaxis. Naltrexone (Revia) is used for opiate overdose. Flumazenil (Romazicon) is used for benzodiazepine overdose.
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