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Dobutamine
Trade NameDobutrex
IndicationShort term management of heart failure
ActionDobutamine has a positive inotropic effect (increases cardiac output) with very little effect on heart rate. Stimulates Beta1 receptors in the heart.
Therapeutic ClassInotropic
Pharmacologic ClassBeta-adrenergic agonist
Nursing Considerations• Monitor hemodynamics: hypertension, ↑HR, PVCs • Skin reactions may occur with hypersensitivity • Beta blockers may negate therapeutic effects of dobutamine • Monitor cardiac output • Monitor peripheral pulses before, during, and after therapy • DO NOT confuse dobutamine with dopamine
By Jon Haws, RN CCRN Alumnus4.4
157157 ratings
Dobutamine
Trade NameDobutrex
IndicationShort term management of heart failure
ActionDobutamine has a positive inotropic effect (increases cardiac output) with very little effect on heart rate. Stimulates Beta1 receptors in the heart.
Therapeutic ClassInotropic
Pharmacologic ClassBeta-adrenergic agonist
Nursing Considerations• Monitor hemodynamics: hypertension, ↑HR, PVCs • Skin reactions may occur with hypersensitivity • Beta blockers may negate therapeutic effects of dobutamine • Monitor cardiac output • Monitor peripheral pulses before, during, and after therapy • DO NOT confuse dobutamine with dopamine

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