Paramedic Drug Cards

Norepinephrine


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  • Trade: Levophed
  • Class: Adrenergic agonist, inotropic, vasopressor 
  • MOA: alpha 1, alpha 2, Beta 1 agonist. Primarily results in peripheral vasoconstriction resulting in increasing BP, and coronary blood flow. Beta adrenergic action produces inotropic stimulation of the heart and dilates coronary arteries.
  • Indications: Cardiogenic Shock, septic shock, severe hypotension 
  • Contraindications: Patients taking MAOIs, use caution in hypovolemia 
  • Side Effects: Dizziness, anxiety, cardiac arrhythmias, dyspnea, asthma exacerbation


  • Dosing 

Adult: 2-4mcg/min IV/IO titrate to effect ( systolic BP greater then 80) Max dose is 30mcg/min

Pedi:  0.05 to 2mcg/kg/min IV/IO


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Paramedic Drug CardsBy Michael Egan

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