Vasopressin (Pitressin) Nursing Considerations

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Kara Tarr
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Drug Card Vasopressin (Pitressin) (Cheatsheet)
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Outline

Generic Name

vasopressin

Trade Name

Pitressin

Indication

management of diabetes insipidus, VT/VF unresponsive to initial shock, GI hemorrhage

Action

increases water permeability of the kidney’s collecting duct and distal convoluted tubule leading to water retention, also increases peripheral vascular resistance leading to increased BP

Therapeutic Class

hormone

Pharmacologic Class

antidiuretic hormone

Nursing Considerations

• use caution with HF and CV disease
• contraindicated in renal failure and hypersensitivity to pork
• monitor BP, HR, and EKG during therapy
• monitor urine specific gravity and osmolality
• weigh patient and assess for edema
• monitor electrolyte panel
• do not use with alcohol

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Transcript

Okay, let’s take a look at the drug vasopressin. Also known as Trein. This is an injectable medication. As you can see here, the therapeutic class of vasopressin or how it works in the body is a hormone. The Cologic class of vasopressin is an antidiuretic hormone. And remember, this is its chemical effect. So vasopressin works by increasing water permeability of the kidneys, collecting duct and distal tubal. This leads to water retention increases PBR and leads to an increased blood pressure. We use vasopressin for diabetes, inci, VTAC, and VFI, which is unresponsive to initial shock. And also also for GI hemorrhage. Some of the side effects that we can see with vasopressin are edema, AFib, bradycardia, and abdominal cramping. A few nursing considerations for vasopressin use caution in patients who have heart failure or cardiovascular disease in general, vasopressin is Contra in patients with renal failure or a hypersensitivity to pork monitor your patient’s blood pressure, heart rate, EKG, electrolyte panel, their weight and their urine specificity and gravity assess for edema in your patient and teach your patient to not use vasopressin with alcohol guys. It’s definitely important to know that elderly patients have an increased response to vasopressin with water homeostasis, and if extra occurs it can lead to necrosis. So is if there is absolutely any sign at all of ex extra, the IV should be stopped immediately in a new site started that’s it for vasopressin or Petin now go out and be your best self today. And as always happy nursing.

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NUR 275 Exam 2

Concepts Covered:

  • Eating Disorders
  • Disorders of Pancreas
  • Labor Complications
  • Respiratory Disorders
  • Noninfectious Respiratory Disorder
  • Renal Disorders
  • Shock
  • Disorders of the Thyroid & Parathyroid Glands
  • Disorders of the Adrenal Gland
  • Disorders of the Posterior Pituitary Gland
  • Disorders of Thermoregulation
  • Endocrine and Metabolic Disorders
  • Urinary System
  • Immunological Disorders
  • Respiratory Emergencies
  • Pregnancy Risks
  • Medication Administration
  • Cardiovascular Disorders

Study Plan Lessons

Potassium-K (Hyperkalemia, Hypokalemia)
Sodium-Na (Hypernatremia, Hyponatremia)
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Chloride-Cl (Hyperchloremia, Hypochloremia)
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Phosphorus-Phos
Hypertonic Solutions (IV solutions)
Isotonic Solutions (IV solutions)
ABGs Nursing Normal Lab Values
ABG (Arterial Blood Gas) Interpretation-The Basics
ROME – ABG (Arterial Blood Gas) Interpretation
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
ABG (Arterial Blood Gas) Oxygenation
Lactic Acid
Base Excess & Deficit
Nursing Care and Pathophysiology for Hyperparathyroidism
Hypoparathyroidism
Metabolic/Endocrine Course Introduction
Metabolic & Endocrine Module Intro
Addisons Disease
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Diabetes Mellitus (DM) Module Intro
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Diabetes Management
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Hyperthermia (Thermoregulation)
Hypothermia (Thermoregulation)
Hypoglycemia
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Sepsis
Fluid Volume Deficit
Nursing Care and Pathophysiology for Scleroderma
Fluid Volume Overload
Fibromyalgia
Chest Tube Management
Furosemide (Lasix) Nursing Considerations
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Antidiabetic Agents
Antidiabetic Agents
Injectable Medications
Insulin – Short Acting (Regular) Nursing Considerations
Insulin
IV Infusions (Solutions)
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Corticosteroids
Insulin Drips
Dopamine (Inotropin) Nursing Considerations
Digoxin (Lanoxin) Nursing Considerations
Dexamethasone (Decadron) Nursing Considerations
Vasopressin
Vasopressin (Pitressin) Nursing Considerations
Cortisone (Cortone) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Respiratory Trauma Module Intro
Asthma
Nursing Care and Pathophysiology for Asthma