dopamine Flashcards
Trade name for dopamine
Intropin
Classes for dopamine
Sympathomimetic
Vasopressor
Standard supply for dopamine
Premix bag for infusion
MOA for dopamine
Increases heart rate
Increases the force of myocardial contractility
Increases the blood pressure
Increases preload
Indications for dopamine
Cardiogenic shock
Bradycardia
Hypotension
Contraindications for dopamine
Hemodynamically significant hypovolemic shock
Adverse reactions to dopamine
Extravasation may cause tissue necrosis Increased myocardial O2 demand Tachycardia Hypertension Dysrhythmias Dyspnea Tremors Palpitations Headache Nausea Vomiting
Route of administration for dopamine
Infusion
Onset/Peak/Duration for dopamine
O: 1-4 minutes
P: 5-10 minutes
D: Variable
Therapeutic dosage range & responses (2-5 mcg/kg/min)
Negligible beta-adrenergic response
Adult dosages for dopamine
Infusion: 2.0-20 mcg/kg/min
Pediatric dosages for dopamine
Infusion: 2.0-20 mcg/kg/min
Special Considerations for dopamine
An infusion pump should be used when possible
Therapeutic dosage range & responses (5-10 mcg/kg/min)
Beta-adrenergic responses:
- Positive chronotropic effects
- Positive inotropic effects
Therapeutic dosage range & responses (10-20 mcg/kg/min)
Alpha-adrenergic responses:
- Vasoconstriction
- Increased blood pressure
- Increased preload