Dopamine (Inotropin) Nursing Considerations

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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