Phenylephrine is to be used for a client to reverse hypotension caused by spinal anesthesia. For which symptoms should the nurse assess the client as contraindications to this drug?
Standard Text: Select all that apply.
1. Angina
2. Parkinson disease
3. Narrow-angle glaucoma
4. Asthma
5. Severe hypertension
Correct Answer: 1,3,5
Rationale 1: Phenylephrine causes vasoconstriction, which can lead to angina.
Rationale 2: Phenylephrine is not contraindicated in Parkinson disease.
Rationale 3: Because of its effects on the eye, phenylephrine should not be used in clients with narrow-angle glaucoma.
Rationale 4: Phenylephrine has an affect on alpha-adrenergic receptors, so does not have an effect on the bronchi.
Rationale 5: Phenylephrine is contraindicated in clients with severe hypertension, as it can raise blood pressure to dangerous levels.
Global Rationale: Phenylephrine causes vasoconstriction, which can lead to angina. Because of its effects on the eye, phenylephrine should not be used in clients with narrow-angle glaucoma. Phenylephrine is contraindicated in clients with severe hypertension, as it can raise blood pressure to dangerous levels. Phenylephrine is not contraindicated in Parkinson disease. Phenylephrine has an affect on alpha-adrenergic receptors, so does not have an effect on the bronchi.
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