Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/DopamineInotropinNursingConsiderations    Generic Name

dopamine

Trade Name

Inotropin

What is the indication for Dopamine?

used to improve blood pressure, cardiac output, and urine output

Action

Smaller doses result in renal vasodilation Doses 2-10mcg/kg/min result in cardiac stimulation by acting on beta1 receptors Doses >10mcg/kg/min stimulate alpha receptors leading to vasoconstriction (↑SVR)

What is the therapeutic class for Dopamine?

inotropic, vasopressor

Pharmacologic Class

adrenergic

Nursing Considerations for Dopamine (Inotropin)

• 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