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Dopamine
Cardiac Pharmacology
| Question | Answer |
|---|---|
| What is the classification of Dopamine? | Sympathetic Agonist. |
| What are the pharmacodynamics of Dopamine? | - Alpha and Beta adrenergic agonist - Rate dependent vasopressor - Increased Chronotropy - Increased Inotropy - Increased Dromotropy |
| What are the indications for Dopamine? | - CHF - Hypotension with signs of shock - Second line medication for symptomatic bradycardia after atropine |
| What are the contraindications of Dopamine? | - Should not be used in hypovolemic patients until appropriate volume replacement has occurred. - Known history of Pheochromocytoma. - Do NOT mix with Sodium Bicarb. |
| What are the adverse effects of Dopamine? | - Hypertension - Palpitations - Headache - Dizziness - Can worsen cardiac ischemia - Extravasation can cause tissue necrosis |
| What is the adult dose of Dopamine? | - 2 - 20 mcg/kg/min - Titrate to patient response (Do NOT open WIDE OPEN!) |
| What is the pediatric dose of Dopamine? | - 2 - 20 mcg/kg/min - Titrate to patient response (Do NOT open WIDE OPEN!) |