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Dopamine

Generic Name: dopamine

Trade Name: Intropin

Indication: used to improve blood pressure, cardiac output, and urine output Action Smaller doses result in renal vasodilation Doses 2-10mcg/kg/min result in cardiac stimulation by acting on beta1 receptors Doses greater than 10mcg/kg/min stimulate alpha receptors leading to vasoconstriction (↑SVR)

Therapeutic Class: inotropic, vasopressor Pharmacologic Class adrenergic

Nursing Considerations
 Monitor hemodynamics closely: BP, HR, EKG, CVP, and PAOP if available
 Obtain parameters for hemodynamic values
 Titrate to obtain appropriate BP (more potent vasoconstrictors may be required)
 Irritation may occur at IV site
 Beta blockers may counteract therapeutic effects

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