Sympathomimetic

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Author:
medic11student
ID:
21626
Filename:
Sympathomimetic
Updated:
2010-06-01 22:12:52
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Medic Drugs
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Description:
JHPC Medic Drugs
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  1. DOBUTAMINE (DOBUTREX) / SYMPATHOMIMETIC
    Dobutamine is a synthetic catecholamine and beta agent that increases the strength of cardiac contraction without appreciably increasing rate.
  2. DOBUTAMINE (DOBUTREX) / SYMPATHOMIMETIC Indications
    To increase cardiac output in CHF and cardiogenic shock
  3. DOBUTAMINE (DOBUTREX) / SYMPATHOMIMETIC Contraindications
    • 1. Hypersensitivity to sympathomimetic amines
    • 2. Ventricular tachycardia
    • 3. hypovolemia without fluid resuscitation
  4. DOBUTAMINE (DOBUTREX) / SYMPATHOMIMETIC Precautions
    Atrial fibrillation or pre-existing hypotension
  5. DOBUTAMINE (DOBUTREX) / SYMPATHOMIMETIC Dosage/Route
    2-20 mcg/kg/min IV
  6. DOPAMINE (INTROPIN) / SYMPATHOMIMETIC
    • Dopamine is a naturally occurring catecholamine that increases cardiac output without appreciably increasing myocardial oxygen consumption.
    • - maintains renal and mesenteric blood flow while inducing vasoconstriction and increasing systolic blood pressure
  7. DOPAMINE (INTROPIN) / SYMPATHOMIMETIC Indications
    • 1. Non-hypovolemic hypotension (70-100 mmHg)
    • 2. Cardiogenic shock
  8. DOPAMINE (INTROPIN) / SYMPATHOMIMETIC Contraindications
    • 1. Tachydysrhythmias
    • 2. Ventricular fibrillation
    • 3. pheochromocytoma
  9. DOPAMINE (INTROPIN) / SYMPATHOMIMETIC Precautions
    Ensure adequate fluid resuscitation of the hypovolemic patient
  10. DOPAMINE (INTROPIN) / SYMPATHOMIMETIC Dosage/Route
    2-5 mcg/kg/min up to 20 mcg/kg/min
  11. EPINEPHRINE (ADRENALIN) / SYMPATHOMIMETIC
    • Epinephrine is a naturally occuring catecholamine that :
    • -INCREASES heart rate, cardiac contractile force, myocardial electrical activity, systemic vascular resistance, and systolic blood pressure.
    • -DECREASES overall airway resistance and automaticity.

    - Through bronchial artery constriction, may reduce pulmonary congestion and increase tidal volume and vital capacity
  12. EPINEPHRINE (ADRENALIN) / SYMPATHOMIMETIC Indications
    Cardiac arrest & severe allergic reactions
  13. EPINEPHRINE (ADRENALIN) / SYMPATHOMIMETIC Contraindications
    • 1. Narrow angle glaucoma
    • 2. Hemorrhagic, traumatic or cardiac shock
    • 3. during labor
  14. EPINEPHRINE (ADRENALIN) / SYMPATHOMIMETIC Dosage/Route
    Cardiac Arrest : 1mg of 1:10,000 IV/3-5min

    Allergic Reaction : 0.3-0.5mg of 1:1,000 subQ/5-15min as needed OR 0.5-1mg of 1:10,000 IV if subQ dose ineffective
  15. ISOPROTERENOL (ISUPREL) / SYMPATHOMIMETIC
    Isoproterenol is a synthetic sympathomimetic that results in increased cardiac output by increasing the strength of cardiac contraction and somewhat increasing rate.
  16. ISOPROTERENOL (ISUPREL) / SYMPATHOMIMETIC Indications
    Bradycardia refractory to atropine when pacing is not available
  17. ISOPROTERENOL (ISUPREL) / SYMPATHOMIMETIC Contraindications
    Cardiogenic shock
  18. ISOPROTERENOL (ISUPREL) / SYMPATHOMIMETIC Precautions
    Tachydysrhythmias and those associated with digitalis and acute myocardial infarction
  19. ISOPROTERENOL (ISUPREL) / SYMPATHOMIMETIC Dosage/Route
    Bradycardia : 2-10 mcg/min titrated to cardiac rate

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