norepinephrine Flashcards
Trade name for norepinephrine
Levophed
Class for norepinephrine
Sympathomimetic
Standard supply for norepinephrine
Premix bad for infusion
MOA for norepinephrine
Vasoconstriction
Increase HR
Increase myocardial contractility
Indications for norepinephrine
Severe hypotension refractory to IV boluses caused by:
Cariogenic shock
Septic shock
Neurogenic shock
Contraindication for norepinephrine
Hypotension caused by hypovolemia
Adverse reactions to norepinephrine
Extravasation of the IO/IV may cause tissue necrosis Tachycardia Increased myocardial oxygen demand Hypertension Dysrhythmias Palpitations Chest pain Dyspnea Nervousness Anxiety Dizziness Headache Tremors Nausea Vomiting
Route of administration for norepinephrine
Infusion
Onset/Peak/Duration for norepinephrine
O: Immediate
P: < 1 minute
D: 1-2 minutes
Adult dosages for norepinephrine
Infusion: 0.1 - 2 mcg/kg/min, titrated to effect
Pediatric dosages for norepinephrine
Infusion: 0.05 - 0.1 mcg/kg/min, titrated to effect
Special considerations for norepinephrine
The drug can increase adverse reaction when administered with another sympathomimetic drugs
An infusion pump should be used when possible
