Norepi Flashcards
Trade name
Levophed
Class
Sympathomimetic
Standard supply
Premix bag for infusion
Mechanism of action
-alpha adrenergic response: Vasoconstriction
-Beta1 adrenergic responses: increases HR & Myocardial contractility
Indications
Severe hypotension refractory to IV boluses caused by: Cardiogenic shock, Septic shock, Neurogenic shock
Contraindication
Hypotension caused by hypovolemia
Side effects
-Anxiety
-Chest Pain
-Dizziness
-Dysrhythmias
-Dyspnea
-Extravasation of the IV/IO may cause necrosis
-Headache
-Hypertension
-Increased myocardial oxygen demand
-Nausea/Vomiting
-Nervousness
-Palpitations
-Tachycardia
-Tremors
Route
Infusion
Onset
Immediate
Adult dosages
Infusion: 0.1 to 2.0 mcg/kg/min, titrated to effect
PEDS Dosages
Infusion: 0.05 to 0.1 mcg/kg/min, titrated to effect