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Generic Name dopamine

Trade Name Inotropin

What is the indication for Dopamine? 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 >10mcg/kg/min stimulate alpha receptors leading to vasoconstriction (↑SVR)

What is the therapeutic class for Dopamine? inotropic, vasopressor

Pharmacologic Class adrenergic

Nursing Considerations for Dopamine (Inotropin) • 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

Dopamine Audio Lecture