Norepinephrine G4 Flashcards
1
Q
Norepinephrine Class
A
• Sympathomimetic
2
Q
Norepinephrine MOA
A
• Alpha-adrenergic response
o Vasoconstriction
• Beta1-adrenergic responses
o Increases the heart rate
o Increases myocardial contractility
3
Q
Norepinephrine Indication
A
• Severe hypotension refractory to IV boluses caused by
o Cariogenic shock
o Septic shock
o Neurogenic shock
4
Q
Norepinephrine Adult dose
A
• Infusion:
0.1 to 2.0 mcg/kg/minute, titrated to effect
5
Q
Norepinephrine Contraindications
A
• Hypotension caused by hypovolemia
6
Q
Norepinephrine Adverse effects
A
• Extravasation of the IV/IO may cause tissue necrosis
• Tachycardia
• Increased myocardial oxygen demand
• Hypertension
• Dysrhythmias
7
Q
Norepinephrine Pediatric dose
A
• Infusion:
0.05 to 0.1 mcg/kg/minute, titrated to effect
