inotrope's andvassopressors

Question 1

Dobutamine - therapeutic effects

Answer 1

Decreases preload and afterload and increases contractility, SV, CO, renal flow, and UA output.

Question 2

Dobutamine - s/e

Answer 2

increased HR and BP

Question 3

Dobutamine - considerations

Answer 3

correct hypovolemia before administration

Question 4

Dopamine - therapeutic effects

Answer 4

2-10 mcg/kg/min = contractility

10-20 mcg/kg/min = vasoconstriction

Question 5

Dopamine - s/e

Answer 5

headache, ectopic beats, tachycardia, angina, vasoconstriction and hypotension

Question 6

Dopamine - considerations

Answer 6

correct hypovolemia before or during infusion

Question 7

Epinephrine - therapeutic effects

Answer 7

increased CO, HR, SVR

relaxes smooth bronchial muscles

Question 8

Epinephrine - s/e

Answer 8

acute HTN, hyperglycemia, ST depression and dysrhythmia

Question 9

Epinephrine - considerations

Answer 9

monitor BG b/e epi cases insulin resistance

Question 10

Inaminone (Inocor) - therapeutic effects

Answer 10

increases CO, decreases SVR

Phosphodiesterase inhibitor reducing preload and afterload

Question 11

Inaminone (Inocor) - s/e

Answer 11

dysrhythmia, hypotension, thrombocytopenia

Question 12

Inaminone (Inocor) - considerations

Answer 12

• obstain basline elctrolytes, liver enzymes, BNP (heart failure), and CBC including platelet count
• correct electrolyte imbalance and dehydration