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Dobutamine
Cardiac Pharmacology
| Question | Answer |
|---|---|
| What is the classification for Dobutamine? | Synthetic sympathetic agonist. |
| What is the pharmacodynamics of Dobutamine? | - Alpha and Beta adrenergic agonist - Inotropic properties more pronounced than chronotropic properties. |
| What are the indications of Dobutamine? | Cardiac pump problems (CHF) with hypotension. |
| What are the contraindications of Dobutamine? | - Should NOT be used in hypovolemia until fluid replacement has been administered. - Do NOT mix with Sodium Bicarb. |
| What are the adverse side effects of Dobutamine? | - Hypertension - Palpitations - Headache - Dizziness - Can worsen cardiac ischemia - Extravasation can cause tissue necrosis |
| What is the adult dose for Dobutamine? | - 2 - 20 mcg/kg/min - Titrate so heart rate does not increase by more than 10% of baseline. |
| What is the pediatric dose of Dobutamine? | - 2 - 20 mcg/kg/min - Titrate so heart rate does not increase by more than 10% of baseline. |