dopamine Flashcards

1
Q

Trade name for dopamine

A

Intropin

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2
Q

Classes for dopamine

A

Sympathomimetic

Vasopressor

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3
Q

Standard supply for dopamine

A

Premix bag for infusion

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4
Q

MOA for dopamine

A

Increases heart rate
Increases the force of myocardial contractility
Increases the blood pressure
Increases preload

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5
Q

Indications for dopamine

A

Cardiogenic shock
Bradycardia
Hypotension

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6
Q

Contraindications for dopamine

A

Hemodynamically significant hypovolemic shock

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7
Q

Adverse reactions to dopamine

A
Extravasation may cause tissue necrosis
Increased myocardial O2 demand
Tachycardia
Hypertension
Dysrhythmias
Dyspnea
Tremors
Palpitations
Headache
Nausea
Vomiting
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8
Q

Route of administration for dopamine

A

Infusion

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9
Q

Onset/Peak/Duration for dopamine

A

O: 1-4 minutes
P: 5-10 minutes
D: Variable

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10
Q

Therapeutic dosage range & responses (2-5 mcg/kg/min)

A

Negligible beta-adrenergic response

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11
Q

Adult dosages for dopamine

A

Infusion: 2.0-20 mcg/kg/min

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12
Q

Pediatric dosages for dopamine

A

Infusion: 2.0-20 mcg/kg/min

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13
Q

Special Considerations for dopamine

A

An infusion pump should be used when possible

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14
Q

Therapeutic dosage range & responses (5-10 mcg/kg/min)

A

Beta-adrenergic responses:

  • Positive chronotropic effects
  • Positive inotropic effects
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15
Q

Therapeutic dosage range & responses (10-20 mcg/kg/min)

A

Alpha-adrenergic responses:

  • Vasoconstriction
  • Increased blood pressure
  • Increased preload
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16
Q

Therapeutic dosage range & responses (>20 mcg/kg/min)

A

May increase the heart rate and myocardial oxygen demand to undesirable limits