Sympathomimetics are the drugs that mimic effects of endogenous catecholamines. Used to treat various conditions. Includes Dobutamine, Dopamine, Norepinephrine, Epinephrine and Isoproterenol.
26. SYMPATHOMIMETIC MEDICATIONS
ASSESSMENT &
MONITORING
Norepinephrine
Weight
•Orientation, LOC
•Hemodynamic status
•Respiratory status
Intervention and monitoring
Administer via central line
•Low dose titrated based on client’s response
Monitoring
Hemodynamic status
•Intake and output
•LOC
•Side effects
• Paresthesias, cool extremities
• Extravasation
• Stop infusion
• Notify health care provider
• Administer phentolamine mesylate subcutaneously
•Evaluate for the therapeutic response of blood pressure stabilization.
CLIENT EDUCATION
•Purpose of medication: increase their blood pressure
•Administered as a continuous infusion, adjusted as needed