14.04 Dobutamine (Dobutrex)

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Included In This Lesson

Outline

Generic Name

Dobutamine

Trade Name

Dobutrex

Indication

Short term management of heart failure

Action

Dobutamine has a positive inotropic effect (increases cardiac output) with very
little effect on heart rate. Stimulates Beta1 receptors in the heart.

Therapeutic Class

Inotropic

Pharmacologic Class

Beta-adrenergic agonist

Nursing Considerations

• Monitor hemodynamics: hypertension, ↑HR, PVCs
• Skin reactions may occur with hypersensitivity
• Beta blockers may negate therapeutic effects of dobutamine
• Monitor cardiac output
• Monitor peripheral pulses before, during, and after therapy
• DO NOT confuse dobutamine with dopamine

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Pharmacology for Nursing (MedMaster)

Course Description

Jon Haws, BS, BSN, RN, CCRN Alumnus

Tarang Patel, DNP-NA, RN, CCRN, RPh

Nichole Weaver, MSN/Ed, RN, CCRN

Miriam Wahrman, MSN/Ed, RNC-MNN

Kara Tarr, BSN, RN

Nacole Riccaboni, MSN, AGACNP-BC, FNP-BC, CCRN, CMC

Module 0 – Pharmacology Course Introduction
00.01 Pharmacology Course Introduction
Module 1 – NCLEX Must Knows
01.01 12 Points to Answering Pharmacology Questions
  • Questions: 20
01.02 54 Common Medication Prefixes and Suffixes
  • Questions: 20
01.03 Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
  • Questions: 13
01.04 Essential NCLEX Meds by Class
  • Questions: 21
01.05 6 Rights of Medication Administration
  • Questions: 10
01.06 Pharmacodynamics
  • Questions: 5
01.07 Pharmacokinetics
  • Questions: 10
01.08 The SOCK Method – Overview
01.09 The SOCK Method – S
01.10 The SOCK Method – O
01.11 The SOCK Method – C
01.12 The SOCK Method – K
Module 2 – Math for Meds
02.01 Basics of Calculations
  • Questions: 10
Dimensional Analysis Nursing (dosage calculations/med math)
  • Questions: 1
02.03 Oral Medications
  • Questions: 7
02.04 Injectable Medications
  • Questions: 4
02.05 IV Infusions (Solutions)
  • Questions: 3
02.06 Complex Calculations (dosage calculations/med math)
  • Questions: 3
02.07 Interactive Pharmacology Practice
02.08 Interactive Practice Drip Calculations
02.09 Pediatric Dosage Calculations
Module 3 – Disease Specific Medications
03.01 Disease Specific Medications
  • Questions: 10
Module 4 – Antianxiety Agents
04.01 Antianxiety Meds
  • Questions: 2
04.02 Benzodiazepines
  • Questions: 10
04.03 Alprazolam (Xanax)
04.04 Lorazepam (Ativan)
04.05 Midazolam (Versed)
04.06 Diazepam (Valium)
04.07 Buspirone (Buspar)
03.03 Antianxiety Meds
  • Questions: 2
Module 5 – Antiarrhythmics
05.01 ACLS (Advanced cardiac life support) Drugs
  • Questions: 7
05.02 Amiodarone (Pacerone)
05.03 Adenosine (Adenocard)
05.04 Procainamide (Pronestyl)
Module 6 – Anticoagulants & Thrombolytics
06.01 Anti-Platelet Aggregate
  • Questions: 5
06.02 Clopidogrel (Plavix)
06.04 Warfarin (Coumadin)
  • Questions: 1
06.06 Enoxaparin (Lovenox)
06.07 Heparin
06.08 Thrombolytics
  • Questions: 4
06.09 Alteplase (tPA, Activase)
06.10 Streptokinase (Streptase)
  • Questions: 1
Module 7 – Anticonvulsants
07.01 Anticonvulsants
  • Questions: 4
07.02 Carbamazepine (Tegretol)
07.03 Divalproex (Depakote)
07.04 Gabapentin (Neurontin)
07.05 Lamotrigine (Lamictal)
07.06 Levetiracetam (Keppra)
07.07 Phenytoin (Dilantin)
Module 8 – Antidepressants
08.01 Antidepressants
08.02 Bupropion (Wellbutrin)
08.03 MAOIs
  • Questions: 3
08.04 Selegiline (Eldepyrl)
08.05 SSRIs
  • Questions: 5
08.06 Escitalopram (Lexapro)
08.07 Fluoxetine (Prozac)
08.08 Paroxetine (Paxil)
08.09 Sertraline (Zoloft)
08.10 TCAs
  • Questions: 3
08.11 Amitriptyline (Elavil)
Module 9 – Antidiabetic Agents
09.01 Antidiabetic Agents
  • Questions: 4
09.02 Glipizide (Glucotrol)
09.04 Insulin
  • Questions: 12
09.05 Insulin – Rapid Acting (Novolog, Humalog)
09.06 Insulin – Short Acting (Regular)
09.07 Insulin – Intermediate Acting (NPH)
09.08 Insulin – Mixtures (70/30)
09.09 Insulin – Long Acting (Lantus)
Module 10 – Antihistamines
10.01 Histamine 1 Receptor Blockers
  • Questions: 1
  • Cheat Sheets: 1
10.02 Diphenhydramine (Benadryl)
10.03 Promethazine (Phenergan)
10.04 Histamine 2 Receptor Blockers
  • Questions: 2
10.05 Cimetidine (Tagamet)
10.06 Famotidine (Pepcid)
10.07 Ranitidine (Zantac)
Module 11 – Antihypertensives
11.01 Renin Angiotensin Aldosterone System
11.02 Sympatholytics (Alpha & Beta Blockers)
  • Questions: 16
11.03 Atenolol (Tenormin)
11.04 Metoprolol (Toprol XL)
11.05 Propranolol (Inderal)
11.06 ACE (angiotensin-converting enzyme) Inhibitors
  • Questions: 4
11.07 Captopril (Capoten)
11.08 Enalapril (Vasotec)
11.09 Lisinopril (Prinivil)
11.10 Angiotensin Receptor Blockers
11.11 Losartan (Cozaar)
11.12 Calcium Channel Blockers
  • Questions: 3
11.13 Amlodipine (Norvasc)
11.14 Diltiazem (Cardizem)
11.15 Nifedipine (Procardia)
11.16 Verapamil (Calan)
11.17 Cardiac Glycosides
  • Questions: 9
11.18 Digoxin (Lanoxin)
Module 12 – Anti-Infectives
12.01 Anti-Infective – Aminoglycosides
  • Questions: 5
12.02 Gentamicin (Garamycin)
12.03 Anti-Infective – Antifungals
  • Questions: 5
12.04 Metronidazole (Flagyl)
  • Questions: 1
12.05 Nystatin (Mycostatin)
12.06 Anti-Infective – Antitubercular
  • Questions: 5
12.07 Isoniazid (Niazid)
12.08 Rifampin (Rifadin)
12.09 Anti-Infective – Antivirals
  • Questions: 5
12.10 Acyclovir (Zovirax)
12.11 Anti-Infective – Carbapenems
  • Questions: 5
12.12 Meropenem (Merrem)
12.13 Anti-Infective – Fluoroquinolones
  • Questions: 6
12.14 Ciprofloxacin (Cipro)
12.15 Levofloxacin (Levaquin)
12.16 Anti-Infective – Glycopeptide
  • Questions: 4
12.17 Vancomycin (Vancocin)
12.18 Anti-Infective – Lincosamide
  • Questions: 5
12.19 Clindamycin (Cleocin)
  • Questions: 2
12.20 Anti-Infective – Macrolides
  • Questions: 5
12.21 Erythromycin (Erythrocin)
12.22 Azithromycin (Zithromax)
12.23 Anti-Infective – Penicillins and Cephalosporins
  • Questions: 7
12.24 Amoxicillin (Amoxil)
12.25 Ampicillin (Omnipen)
12.26 Cefaclor (Ceclor)
12.27 Cefdinir (Omnicef)
12.28 Cephalexin (Keflex)
12.29 Anti-Infective – Sulfonamides
  • Questions: 5
12.30 Trimethoprim-Sulfamethoxazole (Bactrim)
12.31 Anti-Infective – Tetracyclines
  • Questions: 6
12.32 Tetracycline (Panmycin)
Module 13 – Antipsychotics
13.01 Atypical Antipsychotics
  • Questions: 2
13.02 Chlorpromazine (Thorazine)
13.03 Antipsychotics
  • Questions: 5
13.04 Haloperidol (Haldol)
13.05 Quetiapine (Seroquel)
13.06 Olanzapine (Zyprexa)
Module 14 – Autonomic Nervous System Meds
14.01 Autonomic Nervous System (ANS)
  • Questions: 4
14.02 Methylphenidate (Concerta)
14.03 Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
14.04 Dobutamine (Dobutrex)
14.05 Dopamine (Inotropin)
14.06 Carbidopa-Levodopa (Sinemet)
14.07 Parasympathomimetics (Cholinergics)
14.08 Neostigmine (Prostigmin)
14.09 Parasympatholytics (Anticholinergics)
  • Questions: 2
14.10 Atropine (Atropen)
14.11 Benztropine (Cogentin)
14.12 Diphenoxylate-Atropine (Lomotil)
Module 15 – Bronchodilators & Respiratory Drugs
15.01 Guaifenesin (Mucinex)
15.02 Bronchodilators
  • Questions: 2
15.03 Albuterol (Ventolin)
15.04 Montelukast (Singulair)
15.05 Salmeterol (Serevent)
Module 16 – Diuretics
16.01 Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
  • Questions: 1
16.02 Furosemide (Lasix)
  • Questions: 4
16.03 Hydrochlorothiazide (Hydrodiuril)
16.04 Spironolactone (Aldactone)
16.05 Mannitol (Osmitrol)
Module 17 – GI Meds
17.01 Bisacodyl (Dulcolax)
  • Questions: 1
17.02 Bismuth Subsalicylate (Pepto-Bismol)
17.03 Lactulose (Generlac)
17.04 Loperamide (Imodium)
17.05 Metoclopramide (Reglan)
17.06 Ondansetron (Zofran)
17.07 Pancrelipase (Pancreaze)
17.08 Sucralfate (Carafate)
17.09 Proton Pump Inhibitors
17.10 Omeprazole (Prilosec)
17.11 Pantoprazole (Protonix)
Module 18 – Hormone & Immune Related Drugs
18.01 Epoetin Alfa
  • Cheat Sheets: 2
18.02 Epoetin (Epogen)
18.03 Glucagon (GlucaGen)
  • Questions: 1
18.04 Iodine
18.05 Levothyroxine (Synthroid)
18.06 Propylthiouracil (PTU)
18.07 Cyclosporine (Sandimmune)
Module 19 – Lipid Lowering Drugs
19.01 HMG-CoA Reductase Inhibitors (Statins)
  • Questions: 2
19.02 Atorvastatin (Lipitor)
Module 20 – Mineral and Electrolyte Drugs
20.01 Magnesium Sulfate
  • Questions: 1
  • Cheat Sheets: 1
20.02 Magnesium Sulfate in Pregnancy
20.03 Magnesium Sulfate
20.04 Calcium Acetate (PhosLo)
20.05 Calcium Carbonate (Tums)
20.06 Ferrous Sulfate (Iron)
  • Questions: 4
20.07 Alendronate (Fosamax)
Module 21 – Mood Stabilizers
21.01 Mood Stabilizers
21.02 Lithium (Lithonate)
Module 22 – Non-Opioid Analgesics
22.01 Acetaminophen (Tylenol)
22.02 Phenazopyridine (Pyridium)
  • Questions: 1
22.03 NSAIDs
  • Questions: 4
22.04 ASA (Aspirin)
  • Questions: 1
22.05 Celecoxib (Celebrex)
22.06 Ibuprofen (Motrin)
22.07 Indomethacin (Indocin)
22.08 Ketorolac (Toradol)
22.09 Naproxen (Aleve)
Module 23 – OB Meds
23.01 Tocolytics
  • Questions: 2
23.02 Terbutaline (Brethine)
23.03 Uterine Stimulants (Oxytocin, Pitocin)
  • Questions: 6
23.04 Meds for Postpartum Hemorrhage (PPH)
  • Questions: 9
  • Cheat Sheets: 1
23.05 Methylergonovine (Methergine)
23.06 Oxytocin (Pitocin)
23.07 Prostaglandins in Pregnancy
  • Questions: 1
23.08 Rh Immune Globulin in Pregnancy
  • Questions: 2
23.09 Lung Surfactant for Newborns
  • Questions: 4
23.10 Eye Prophylaxis for Newborn
  • Questions: 2
23.11 Phytonadione (Vitamin K) for Newborn
  • Questions: 4
23.12 Hepatitis B Vaccine for Newborns
  • Questions: 4
Module 24 – Opioid Analgesics
24.01 Opioids
  • Questions: 7
24.02 Opioid Analgesics in Pregnancy
24.03 Butorphanol (Stadol)
24.04 Codeine (Paveral)
24.05 Fentanyl (Duragesic)
24.06 Hydrocodone-Acetaminophen (Vicodin, Lortab)
24.07 Hydromorphone (Dilaudid)
24.08 Meperidine (Demerol)
24.09 Methadone (Methadose)
24.10 Morphine (MS Contin)
24.11 Nalbuphine (Nubain)
24.12 Oxycodone (OxyContin)
Module 25 – Sedatives / Hyponotics
25.01 Sedatives-Hypnotics
25.02 Barbiturates
  • Questions: 3
25.03 Phenobarbital (Luminal)
25.04 Pentobarbital (Nembutal)
25.05 Anesthetic Agents
  • Questions: 5
25.06 Propofol (Diprivan)
25.07 Lidocaine (Xylocaine)
Module 26 – Steroids
26.01 Corticosteroids
  • Questions: 5
  • Cheat Sheets: 1
26.02 Betamethasone and Dexamethasone in Pregnancy
  • Questions: 2
26.03 Cortisone (Cortone)
26.04 Dexamethasone (Decadron)
26.05 Fluticasone (Flonase)
26.06 Methylprednisolone (Solu-Medrol)
Module 27 – Vasodilators
27.01 Hydralazine
  • Questions: 2
27.02 Hydralazine (Apresoline)
27.03 Nitro Compounds
  • Questions: 4
  • Cheat Sheets: 2
27.04 Nitroglycerin (Nitrostat)
27.05 Nitroprusside (Nitropress)
Module 28 – Vasopressors
28.01 Vasopressin
  • Questions: 1
28.02 Epinephrine (EpiPen)
  • Questions: 2
28.03 Norepinephrine (Levophed)
28.04 Vasopressin (Pitressin)
Module 29 – Medications By Class
29.01 ACLS (Advanced cardiac life support) Drugs
29.02 Anti-Infective – Aminoglycosides
29.03 Anti-Infective – Carbapenems
29.04 Anti-Infective – Macrolides
29.05 Anti-Infective – Fluoroquinolones
29.06 Anti-Infective – Sulfonamides
29.07 Anti-Infective – Tetracyclines
  • Questions: 6
29.08 Anti-Infective – Antifungals
29.09 Anti-Infective – Antivirals
29.10 Anti-Infective – Lincosamide
29.11 Thrombolytics
29.12 Anticonvulsants
29.13 Antidiabetic Agents
29.14 Sympatholytics (Alpha & Beta Blockers)
29.15 Anti-Infective – Antitubercular
29.16 Anti-Infective – Glycopeptide
29.17 Bronchodilators
29.18 Opioids
29.19 Barbiturates
29.20 Anesthetic Agents
Module 30- Antineoplastics
30.01 Antineoplastics
30.02 Alkylating Agents
30.03 Antimetabolites
30.04 Anti Tumor Antibiotics
30.05 Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Module 31 – Medication Infusion
31.01 Patient Controlled Analgesia (PCA)
31.02 Epidural
31.03 Insulin Drips