Adrenergics

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Section 8 - MEDICATION GUIDELINES

8.01 ADRENERGICS

Dopamine (INTROPIN) / Sympathomimetic

DESCRIPTION

  • 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.

INDICATIONS

  • Cardiogenic shock and hypovolemic shock after fluid resuscitation.

CONTRAINDICATIONS

  • Hypotension due to hypovolemia without aggressive fluid resuscitation.

PRECAUTIONS

  • Tachyarrhythmias and Ventricular Fibrillation or irritability. May be deactivated by alkaline solutions.
  • The blood pressure should be constantly monitored.

DOSAGE

  • 5 -20 mcg / kg / minute IV piggyback - titrated to systolic BP >90 mm Hg. Refer to Handtevy System for pediatric dosage.


Epinephrine (ADRENALINE) / Sympathomimetic

DESCRIPTION

  • A potent alpha and beta stimulant. It increases the electrical activity of the heart through its beta activities.

INDICATIONS

CONTRAINDICATIONS

  • None in the patient who needs aggressive resuscitation.

PRECAUTIONS

  • 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.

DOSAGE

  • Refer to appropriate PRACTICE PARAMETER for specific dosages.
  • Refer to Handtevy System for pediatric dosages.