Drugs

Dobutamine
Description
- Synthetic catecholamine
- Beta Agent
- Increases strength of cardiac contraction w/o increasing rate
Dobutamine
Indications

Increase cardiac output in CHF/cardiogenic shock
Dobutamine
Contraindications
- Ventricular Tachycardia
- Hypovolemia w/o fluid resuscitation
Dobutamine
Precautions
- Afib
- Preexisting HTN
Dobutamine
Dose/Route

2 to 20mcg/kg/min IV
Dopamine
Description
- Naturally occuring catecholamine
- Increases cardiac output w/o increasing myocardial O2 consumption
- Increases systolic pressure
- Induces vasoconstriction
Dopamine
Indications
- Nonhypovolemic Hypotension
- Cardiogenic shock
Dopamine
Precautions

Ensure adequate fluid resuscitation during hypovolemia
Dopamine
Contraindications
- Tachydysrhythmias
- Vfib
- Pheochromocytoma
Dopamine
Dose/Route

2 to 5mcg/kg/min up to 20mcg/kg/min, titrated to effect
Isoproterenol
Description
- Synthetic sympathomimetic
- Increases cardiac output
- Increases strength of cardiac contraction
- Increases rate
Isoproterenol
Indications

Bradycardia refractory to atropine when pacing is not available
Isoproterenol
Contraindications

Cardiogenic shock
Isoproterenol
Precautions

Tachydysrhythmias and those associated with digitalis and AMI
Isoproterenol
Dose/Route

2 to 10mcg/min titrated to cardiac rate

Author

Schwendy

18544

Card Set

Drugs

Description

paramedic drugs

Updated

2010-05-10T03:49:11Z

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