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Drug Profiles > Dopamine & Morphine > Flashcards

Dopamine & Morphine Flashcards

1
Q

Dopamine

Brand Name

A

Intropin

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2
Q

Dopamine

Class

A

-sympathomimetic
-vasopressor

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3
Q

Dopamine

Supply

A

premix bag

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4
Q

Dopamine

Mechanism of Action

A

-increases heart rate
-increases force of myocardial contractility
-increases blood pressure
-increases preload

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5
Q

Dopamine

Indications

A

-cardiogenic shock
-hemodynamically significant bradycardia
-hemodynamically significant hypotension

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6
Q

Dopamine

Contrindication

A

hemodynamically significant hypovolemic shock

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7
Q

Dopamine

Adverse Reactions

A

-extravasation may cause tissue necrosis
-increased myocardial oxygen demand
-tachycardia
-hypertension
-dysrhythmias
-dyspnea
-tremors
-palpitations
-headache
-nausea, vomiting

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8
Q

Dopamine

Route

A

infusion

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9
Q

Dopamine

Onset

A

1-4 minutes

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10
Q

Dopamine

Therapeutic Dosage Range & Responses
2.0-5.0 mcg/kg/minute

A

Negligible beta-adrenergic response

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11
Q

Dopamine

Therapeutic Dosage Range & Responses
5.0-10 mcg/kg/minute

A

Beta-adrenergic responses
-positive chronotropic effects
-positive inotropic effects

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12
Q

Dopamine

Therapeutic Dosage Range & Responses
10-20 mcg/kg/minute

A

Alpha-adrenergic responses
-vasoconstriction
-increased blood pressure
-increased preload

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13
Q

Dopamine

Therapeutic Dosage Range & Responses
>20 mcg/kg/minute

A

may increases heart rate and myocardial oxygen demand to undesirable limits

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14
Q

Dopamine

Adult Dose

A

2.0-20 mcg/kg/minute

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15
Q

Dopamine

Pediatric Dose

A

2.0-20 mcg/kg/minute

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16
Q

Dopamine

Special Consideration

A

infusion pump should be used when possible

17
Q

Morphine

Class

A

-narcotic analgesic
-narcotic agonist

18
Q

Morphine

Supply

A

-vial
-ampule

19
Q

Morphine

Mechanism of Action

A

-alleviates pain by depressing CNS
-depresses brainstem respiratory centers
-decreases venous return to the heart
-decreases preload and afterload

20
Q

Morphine

Indications

A

-moderate to severe pain
-chest pain and/or signs and symptoms suggestive of acute coronary syndrome
-acute cardiogenic pulmonary edema

21
Q

Morphine

Contraindications

A

-known hypersensitivity
-head injury
-decreased level of consciousness
-hemodynamically significant hypotension

22
Q

Morphine

Adverse Reactions

A

-CNS depression
-respiratory depression
-respiratory arrest
-hypotension
-bradycardia
-tachycardia
-dysrhythmias
-syncope
-dyspnea
-nausea, vomiting

23
Q

Morphine

Routes

A

-IV
-IO
-IM

24
Q

Morphine

Onset

A

immediate

25
Q

Morphine

Adult Dose

A

1.0-4.0 mg increments over 1-5 minutes

26
Q

Morphine

Pediatric Dose

A

0.1 - 0.2 mg/kg

27
Q

Morphine

Special Considerations

A

-duration is 2-7 hours
-respiratory arrest/depression can be revered by naloxone

Drug Profiles (16 decks)

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