Isuprel
Noun | 1. | Isuprel - drug (trade name Isuprel) used to treat bronchial asthma and to stimulate the heart |
单词 | isuprel | |||
释义 | Isuprel
IsuprelIsuprel[i´su-prel]isoproterenol hydrochloridePharmacologic class: Sympathomimetic, beta1-adrenergic and beta2-adrenergic agonist Therapeutic class: Vasopressor, bronchodilator, antiasthmatic Pregnancy risk category C ActionActs on beta2-adrenergic receptors, causing relaxation of bronchial smooth muscle; acts on beta1-adrenergic receptors in heart, causing positive inotropic and chronotropic effects and increasing cardiac output. Also lowers peripheral vascular resistance in skeletal muscle and inhibits antigen-induced histamine release. AvailabilityInjection: 20 mcg/ml, 200 mcg/ml Indications and dosages➣ Shock Adults and children: 0.5 to 5 mcg/minute by continuous I.V. infusion ➣ Heart block; ventricular arrhythmias Adults: Initially, 0.02 to 0.06 mg I.V., then 0.01 to 0.2 mg I.V. or 5 mcg/minute I.V. Or initially, 0.2 mg I.M., then 0.02 to 1 mg I.M., depending on response. Or initially, 0.2 mg subcutaneously, then 0.15 to 0.2 mg subcutaneously, depending on response. ➣ Bronchospasm during anesthesia Adults: 0.01 to 0.02 mg I.V., repeated when necessary Contraindications• Angina pectoris • Angle-closure glaucoma • Tachyarrhythmias • Tachycardia or heart block caused by digitalis intoxication • Ventricular arrhythmias that warrant inotropic therapy • Labor, delivery, breastfeeding PrecautionsUse cautiously in: • renal impairment, unstable vasomotor disorders, hypertension, coronary insufficiency, chronic obstructive pulmonary disease, diabetes mellitus, hyperthyroidism • history of cerebrovascular accident or seizures • elderly patients. Administration• Give each 0.02-mg I.V. dose by direct injection over 1 minute, or by I.V. infusion, as ordered. Always use continuous infusion pump to deliver infusion. ![]() Adverse reactionsCNS: tremors, anxiety, insomnia, headache, dizziness, asthenia, nervousness CV: palpitations, tachycardia, angina, rapid blood pressure changes, arrhythmias, cardiac arrest, Stokes-Adams attacks EENT: pharyngitis, visual blurring GI: nausea, vomiting, heartburn Metabolic: hyperglycemia Respiratory: bronchitis, dyspnea, increased sputum, pulmonary edema, bronchospasm Skin: diaphoresis Other: parotid gland swelling (with prolonged use), pallor InteractionsDrug-drug. Cyclopropane, epinephrine, halogenated general anesthetics: increased risk of arrhythmias Propranolol, other beta-adrenergic blockers: antagonism of bronchodilating effects Drug-diagnostic tests. Glucose: increased level Patient monitoring• During I.V. administration, monitor ECG and vital signs carefully. • Assess patient's response to drug and adjust I.V. infusion rate accordingly. • Closely monitor arterial blood gas values, urine output, and central venous pressure. See Stay alert for rebound bronchospasm. Patient teaching• Assure patient that he'll be monitored closely. Isuprel(ī′sə-prəl)Isuprel
Synonyms for Isuprel
|
|||
随便看 |
|
英语词典包含2567994条英英释义在线翻译词条,基本涵盖了全部常用单词的英英翻译及用法,是英语学习的有利工具。