Certified Registered Nurse Anesthetist (CRNA) Practice Exam

What adverse reactions are associated with Esmolol?

1. Hypertension and headache

2. Seizures and bronchospasm

3. Nausea and vomiting

4. Fatigue and muscle cramps

The correct answer is: Seizures and bronchospasm

Esmolol is a short-acting beta-blocker primarily used in the management of acute tachycardia and hypertension. It is important to understand the specific adverse reactions associated with this medication to ensure proper patient monitoring and care. Seizures and bronchospasm are noteworthy concerns when administering esmolol, particularly in patients with a history of respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD). The drug can induce bronchospasm due to its non-selective beta-blocking action if administered inappropriately or in sensitive individuals, highlighting the need for caution in such cases. Although other choices list potential reactions that may occur with various medications, they are less characteristic of esmolol. When considering the pharmacologic profile of esmolol and its clinical applications, seizures are not a common direct effect of the medication; however, the risk is present, especially with considerations of underlying patient conditions and interactions. Focusing on the correct answer involves recognizing that bronchospasm is a significant adverse effect related to this medication, particularly in sensitive individuals, making this aspect vital to the safety and efficacy of esmolol administration in clinical settings.