A Patient Is on a Low-Dose Dobutamine Drip for Heart

question 10

Multiple Choice

A patient is on a low-dose dobutamine drip for heart failure. She had been feeling better but now has a sense of tightness in her chest, palpitations, and a bit of anxiety. Her heart rate is up to 110 beats/min, and her blood pressure is 150/98 mm Hg (increased from previous readings of 86 beats/min and 120/80 mm Hg) . What is the nurse's immediate concern for this patient?

• A) She is experiencing normal adverse effects of dobutamine therapy.
• B) She may be experiencing an allergic reaction to the dobutamine.
• C) The medication may be causing a worsening of a preexisting cardiac disorder.
• D) The dosage of the dobutamine needs to be increased to control the symptoms better.

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Definitions:

Low Blood Pressure

A condition where blood pressure falls below the normal range, potentially causing symptoms like dizziness, fainting, or in extreme cases, shock.

Coronary Artery Disease

A heart condition characterized by the narrowing or blockage of the coronary arteries, usually due to atherosclerosis, leading to reduced blood flow to the heart.

Lung Cancer

A disease characterized by the uncontrolled growth of abnormal cells in the lungs, leading to various respiratory and systemic symptoms.

Palliative Care

Level of care that is designed to relieve or reduce intensity of uncomfortable symptoms but not to produce a cure. Palliative care relies on comfort measures and use of alternative therapies to help individuals become more at peace during end of life.