Sympathomimetic Ind/con/dos

Question 1

Dopamine indications

Answer 1

Cardiogenic shock BP < 70 mmHg

Shock states with hypotension (without hypovolemia)

Question 2

Dopamine contraindications

Answer 2

Untreated hypovolemia

Question 3

Dopamine dosage

Answer 3

2-20 mcg/kg/min

Question 4

Norepinephrine also known as

Answer 4

Levophed

Question 5

Norepinephrine indications 3

Answer 5

Severe hypotension

Vasodilatory shock

Profound metabolic acidosis

Question 6

Norepinephrine contraindications 2

Answer 6

Dehydration

Systolic BP > 90 mmHg

Question 7

Norepinephrine dosage

Answer 7

4 mg in 250 ml of d5

0.5-30 mcg/min titrate

Question 8

Dobutamine also known as

Answer 8

Dobutrex

Question 9

Dobutamine indications 2

Answer 9

Decreased heart function due to cardiac contractility

Systolic BP 70-100 with no signs of shock

Question 10

Dobutamine contraindications 2

Answer 10

Untreated hypovolemia

Vasodilatory shock (septic, neuro, anaphylactic). Can cause further dilation

Question 11

Dobutamine dosage

Answer 11

2.5-5 mcg/kg/min max 20 mcg to get BP > 90

Question 12

Isoproterenol also known as

Answer 12

Isuprel

Question 13

Isoproterenol indications

Answer 13

Hemodynamically significant bradycardia in denervated heart transplant pts or

Refractory to pacing, atropine, dopamine and epinephrine

Beta blocker OD

Question 14

Isoproterenol contraindications

Answer 14

Cardiogenic shock

Question 15

Isoproterenol dosage

Answer 15

1 mg mixed in 500 ml d5

2-10 mcg/min until desired heart rate or ventricular irritability

Question 16

Dopamine also known as

Answer 16

Intropin