Dopamine & Morphine

Question 1

Dopamine Trade Name

Answer 1

Intropin®

Question 2

Dopamine Classes:

Answer 2

-Sympathomimetic
-Vasopressor

Question 3

Dopamine Standard Supply:

Answer 3

Premix bag

Question 4

Dopamine MOA:

Answer 4

-Increases HR
-Increases the force of myocardial contractility
-Increases BP
-Increases preload

Question 5

Dopamine Indications:

Answer 5

-Cardiogenic shock
-Hemodynamically significant bradycardia
-Hemodynamically significant hypotension

Question 6

Dopamine Contraindication:

Answer 6

Hemodynamically significant hypovolemic shock

Question 7

Dopamine S/E:

Answer 7

-Extravasation may cause tissue necrosis
-Increased myocardial oxygen demand
-Tachycardia
-Hypertension
-Dysrhythmias
-Dyspnea
-Tremors
-Palpitations
-Headache
-Nausea/Vomiting

Question 8

Dopamine Route:

Answer 8

Infusion

Question 9

Dopamine Onset:

Answer 9

1-4 min

Question 10

Dopamine Therapeutic Dosage Range & Responses:

Answer 10

-2.0-5.0 mcg/kg/min:
o Negligible beta-adrenergic
response
-5.0-10 mcg/kg/min:
o Beta-adrenergic responses
-Positive chronotropic
effects
-Positive inotropic effects
-10-20 mcg/kg/min:
o Alpha-adrenergic responses
-Vasoconstriction
-Increased BP
-Increased preload
- >20 mcg/kg/min:
o May increase the HR & myocardial oxygen demand to undesirable limits

Question 11

Dopamine Adult dosages:

Answer 11

Infusion: 2.0-20 mcg/kg/min

Question 12

Dopamine PEDS dosages:

Answer 12

Infusion: 2.0-20 mcg/kg/min

Question 13

Morphine Sulfate Classes:

Answer 13

-Narcotic analgesic
-Narcotic agonist

Question 14

Morphine Sulfate Standard Supplies:

Answer 14

-Vial
-Ampule

Question 15

Morphine Sulfate MOA:

Answer 15

-Alleviates pain by depressing the CNS
-Depresses brainstem respiratory centers
-Decreases venous return to the heart
-Decreases preload/afterload

Question 16

Morphine Sulfate Indications:

Answer 16

-Moderate to severe pain
-Chest pain and/or S&S suggestive of the acute coronary syndrome
-Acute cardiogenic pulmonary edema

Question 17

Morphine Contraindications

Answer 17

-Hypersensitivity
-Head injury
-Decreased LOC
-Hemodynamically significant hypotension

Question 18

Morphine S/E:

Answer 18

-CNS depression
-Respiratory depression
-Respiratory arrest
-Hypotension
-Bradycardia
-Tachycardia
-Dysrhythmias
-Syncope
-Dyspnea
-Nausea, Vomiting

Question 19

Morphine Routes:

Answer 19

-IV
-IO
-IM

Question 20

Morphine Onset:

Answer 20

Immediate

Question 21

Morphine Adult Dosages:

Answer 21

1.0 - 4.0 mg increments over 1-5 mins

Question 22

Morphine PEDS dosages:

Answer 22

0.1 - 0.2 mg/kg