BC Nursing: Pharm S3 - Intropic Vasopressor

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INOTROPIC VASOPRESSOR

MEDICATION?

dopamine, dobutamine (Dobutrex)

INOTROPIC VASOPRESSOR

ROUTE OF ADMINISTRATION?

Continuous IV

INOTROPIC VASOPRESSOR

INDICATIONS?

Low BP.
Low urine output < 30 ml/hr.
Heart failure.

INOTROPIC VASOPRESSOR

ACTIONS?

Dopamine: 1 - 4 mcg/kg/min increases renal vasodilation.
5 - 10 mcg/kg/min increases CO & BP.
10 - 20 mcg/kg/min primarily increases BP.
Dobutamin: Increases CO, decreases SVR - may not increase BP.

INOTROPIC VASOPRESSOR

SIDE EFFECTS?

Dopamine infiltration causes tissue necrosis - treat with phentolamine (Regitine).

INOTROPIC VASOPRESSOR

NURSING IMPLICATIONS?

Infuse via IV pump through CVL.
Avoid discontinuing abruptly.
Monitor BP closely (frequently titrated by RN) and I & O hourly.

INOTROPIC VASOPRESSOR

EXPECTED OUTCOMES?

OUtput > 30 mL/hr.
Increased BP.

INOTROPIC VASOPRESSOR

PATIENT TEACHING?

Notify RN of chest pain, dyspnea, numbness tingling or pain at infusion site.

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