Dobutamine

Card Set Information

Author:
Kgren
ID:
148445
Filename:
Dobutamine
Updated:
2012-04-18 21:05:22
Tags:
Paramedic Drugs
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Description:
Dobutamine
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  1. Class
    Sympathetic Agonist
  2. Description
    Synthetic Catecholimine that primarily acts on Beta 1 receptors but is less potent than isoproterenol
  3. Mechanism of Action
    • Increases the force of systolic contraction with little chronotropic activity.
    • Useful in management of CHF when increased HR is not desired.
  4. Onset of Action
    • Onset: 2-10 min
    • Peak: 10-20 min
    • Duration: Varies
    • Half-life: 2 min
  5. Indications
    CHF when increase CO without increased HR is desired
  6. Contraindications
    Hypovolemic shock when fluid resuscitation is not well underway
  7. Precautions
    • Tachycardia and an increase in systolic BP
    • Increases in HR more than 10% induce or exacerbate myocardial ischemia.
    • PVC's can occur in conjunction with administration
    • Monitor BP
    • May be ineffective for pts on beta blockers
  8. Side Effects
    • Tachycardia
    • Palpitation
    • Dysrhythmia
    • Hypertension
    • Chest pain
    • Nervousness
    • Nausea
    • Vomiting
  9. Adult Dose
    2-20mcg/kg/min
  10. Pedi Dose
    2-20mcg/kg/min
  11. Max Dose
    20mcg/kg/min
  12. Route of Administration
    IV/IO
  13. How Supplied
    Vials

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