A patient comes into the emergency department with systemic manifestations of anaphylaxis caused by a wasp sting. For which health problems would the nurse be concerned prior to administering epinephrine?

1. Premature ventricular contractions
2. Hypertension
3. Hyperthyroidism
4. Pheochromocytoma
5. Hypotension


Correct Answer: 1,2,3
Rationale 1: The drug must be used with caution in patients with dysrhythmias because epinephrine may worsen this condition.
Rationale 2: The drug must be used with caution in patients with hypertension because epinephrine may worsen this condition.
Rationale 3: The drug must be used with caution in patients with hyperthyroidism because epinephrine may worsen this condition.
Rationale 4: Dopamine is contraindicated for pheochromocytoma.
Rationale 5: Norepinephrine should not be administered to patients with hypotension.

Nursing

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