Dopamine
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Section 8 - MEDICATION GUIDELINES
ADRENERGICS
Dopamine (INTROPIN) / Sympathomimetic
DESCRIPTION
- A beta agonist that does not appreciably increase myocardial oxygen consumption.
- It maintains renal and mesenteric blood flow while inducing vasoconstriction and increasing blood pressure at doses < 10 mcg / kg / minute.
INDICATIONS
- Cardiogenic shock and hypovolemic shock after fluid resuscitation.
CONTRAINDICATIONS
- Hypotension due to hypovolemia without aggressive fluid resuscitation.
PRECAUTIONS
- Tachyarrhythmias and Ventricular Fibrillation or irritability. May be deactivated by alkaline solutions.
- The blood pressure should be constantly monitored.
DOSAGE
- 5 -20 mcg / kg / minute IV piggyback - titrated to systolic BP >90 mm Hg. Refer to Handtevy System for pediatric dosage.
