shock increase BP neurogenic orthostatic or dialysis hypotension with local

Shock increase bp neurogenic orthostatic or dialysis

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shock, increase BP (neurogenic orthostatic or dialysis hypotension), with local anesthetics for prolonged effects Bronchodilation : asthma, acute allergic reactions Local : nasal and ophthalmic decongestants
Side/Adverse Effects CV : HTN, tachycardia, palpitations, dysrhythmias, vasoconstriction, angina CNS : H/A, tremors, nervousness, restlessness, dizziness, insomnia Misc : n/v, cramping, sweating, mydriasis & blurred vision , hyperglycemia Seizures, severe HTN, reflex bradycardia (with HTN), intracranial bleeding (from IC HTN), severe vasoconstriction with organ damage (necrosis, sloughing, gangrene, myocardial infarction, etc.)
Cautions & Contraindications HTN, severe cardiac disease (CAD, angina, MI), cerebral and peripheral vascular disease, hyperthyroidism/thyrotoxicosis, BPH, diabetes
Adrenergic Agonist Drugs epinephrine, pseudoephedrine (non-selective) phenylephrine, midodrine (alpha-1)- vasoconstrictive, neurogenic hypotension albuterol, terbutaline (beta-2), good vasodilators clonidine, methyldopa (alpha-2 agonists)* alpha 2 effects the release of NE, reduces BP & HR, inhibits release of NE
Adrenergic Antagonists (Blockers) Block the effects of sympathetic stimulation Sympatholytics- cut sympathetic nervous system Block alpha-1, beta, or both; selectively or not
Alpha-Blockers Selectively block alpha-1, some are also beta-blockers

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