teex dopamine

Sympathomimetic

• 1. Increase cardiac contractility
• 2. cause peripheral vasoconstriction
• 3. increases chrontropic and inotropic effects
• 4. dilation of mesenteric and renal artieries promoting urination (reason Dopamine is prefered over norepinephrine)
• Low Dose action (less than 10mcg / kg / min: Beta effects predominate
• High Dose action (more than 10mcg / kg / min: Alpha Effects

• 1. Cardiogenic Shock
• 2. Any shock refractory to fluid resusitation
• 3. Hypotension secondary to bradycardia post resusitation

• 1. Hypovolemic Shock in which fluid resusitation has not been performed
• 2. Uncorrected tachycardia or VF

• 1. ventricular irritability
• 2. Do not mix with sodium bicarbonate

• 1. VT
• 2. Hypertension
• 3. Headache, angina, nausea, vomitting

2-20mcg / kg / min increased as needed: titrate to level of consciousness, blood pressure, and urine output

Method: 800mg into 500 ml of D5W or NS giving 1600 mcg / ml concentration

See dopamine dosage table

IV Drip only

• prefilled syringe, ampule: 200mg in 5ml
• Premix drips: 400mg in 250ml

2-20 mcg / kg / min