Dobutamine Flashcards
Brand name of Dobutamine Hydrochloride
Dobutrex
Drug class of Dobutamine
Sympathomimetic, Inotropic Agent
Dobutamine’s mechanism of action
Synthetic catecholamine. Increases myocardial contractility, stroke volume, and increased cardiac output. Minimal chronotropic activity. Increases renal blood flow
Indications for Dobutamine
Cardiogenic Shock, CHF, Left Ventricular Dysfunction, often used in conjunction with other drugs
Contraindications for Dobutamine
Tachydysrhythmias, severe hypotension, idiopathic hypertrophic subaortic stenosis (IHSS), suspected or known poison/drug-induced shock
Adverse effects of Dobutamine
Headache, dyspnea, tachycardia, hypertension, chest pain, dysrhythmias, PVCs, nausea & vomiting
Precautions of Dobutamine
Incompatible with sodium bicarbonate and
Furosemide. Beta blockers will blunt Inotropic effects
Adult dose of Dobutamine
2 to 20 mcg/kg/min titrate to effect.
Max dose of Dobutamine
Max dose 40 mcg/kg/min
Pediatric dose of Dobutamine
Not recommended in pediatrics.