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
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.
Global Rationale: The drug must be used with caution in patients with dysrhythmias, hypertension, or hyperthyroidism because epinephrine may worsen these conditions. Dopamine is contraindicated for pheochromocytoma. Norepinephrine should not be administered to patients with hypotension.
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