Section 8 - MEDICATION GUIDELINES
Dopamine (INTROPIN) / Sympathomimetic
- A beta agonist that does not appreciably increase myocardial oxygen consumption.
- It maintains renal and mesenteric blood flow while inducing vasoconstriction and increasing blood pressure at doses < 10 mcg / kg / minute.
- Cardiogenic shock and hypovolemic shock after fluid resuscitation.
- Hypotension due to hypovolemia without aggressive fluid resuscitation.
- Tachyarrhythmias and Ventricular Fibrillation or irritability. May be deactivated by alkaline solutions.
- The blood pressure should be constantly monitored.
- 5 -20 mcg / kg / minute IV piggyback - titrated to systolic BP >90 mm Hg. Refer to Handtevy System for pediatric dosage.
Epinephrine (ADRENALINE) / Sympathomimetic
- A potent alpha and beta stimulant. It increases the electrical activity of the heart through its beta activities.
- Ventricular Fibrillation/Pulseless Ventricular Tachycardia, Asystole, PEA, Acute Asthma, Allergic Reaction/Anaphylactic Shock.
- None in the patient who needs aggressive resuscitation.
- It should be protected from light and should not be infused with alkaline solutions, such as Sodium Bicarbonate, since they will deactivate Epinephrine.
- The medication's actions are of short duration.
- Refer to appropriate PRACTICE PARAMETER for specific dosages.
- Refer to Handtevy System for pediatric dosages.