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Dopamine

Generic Name: dopamine

Trade Name: Intropin

Indication: used to improve blood pressure, cardiac output, and urine output Action Smaller doses result in renal vasodilation Doses 210mcg/kg/min result in cardiac stimulation by acting on beta1 receptors Doses greater than 10mcg/kg/min stimulate alpha receptors leading to vasoconstriction (↑SVR)

Therapeutic Class: inotropic, vasopressor Pharmacologic Class adrenergic

Nursing Considerations
Monitor hemodynamics closely: BP, HR, EKG, CVP, and PAOP if available
Obtain parameters for hemodynamic values
Titrate to obtain appropriate BP (more potent vasoconstrictors may be required)
Irritation may occur at IV site
Beta blockers may counteract therapeutic effects