Indications: Symptomatic bradycardia and hypotension, cardiogenic shock.
Dose: Continuous infusions (titrate to patient response): Low dose 1-5 |xg/kg/min; moderate dose 5-10 |xg/kg/min (cardiac doses); high dose 10-20 |xg/kg/min (vasopressor doses). Mix 400 mg/250 mL in normal saline, lactated Ringer's solution, or D5W (1600 ixg/mL).
Contraindications: Pheochromocytoma, uncorrected tachycardia, cardiogenic shock with CHF.
Side Effects: Tachyarrhythmias, angina, hypotension, palpitations, vasoconstriction, dyspnea, nausea and vomiting.
Precautions: Hypovolemia, MI. Adjust dosage in elderly patients and in those with occlusive vascular disease. Ensure adequate hydration prior to infusion. Taper slowly. Do not mix with sodium bicarbonate. Use care with peripheral administration; infiltration can cause tissue necrosis. Central line is preferred.
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Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...