dopamine, dobutamine (Dobutrex)
ROUTE OF ADMINISTRATION?
Low urine output < 30 ml/hr.
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.
Dopamine infiltration causes tissue necrosis - treat with phentolamine (Regitine).
Infuse via IV pump through CVL.
Avoid discontinuing abruptly.
Monitor BP closely (frequently titrated by RN) and I & O hourly.
OUtput > 30 mL/hr.
Notify RN of chest pain, dyspnea, numbness tingling or pain at infusion site.
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