Vasopressors
| 'Ag'ent | SVR | BP | PCW | CO |
| Dopa >5 | ++ | ++ | + | - |
| Dopa <5 | -- | - | ||
| Dobuta | -- | +/- | - | + |
| D+D (7.5/2.5-5) | + | +/- | + | |
| Levo | ++++ | ++ | ++ | -- |
DOPA >5 watch for inc HR/PVC
DOPA<5 coronary vasodilator
Dobutamine = 2.5-5; for RV infarct; develop tachyphylaxis
Levophed- large bore IV; Inc HR
Milrinone= similar to dobutamine
Sepsis: Levophed or Dopamine
Cardiogenic: Dobutamine
Kids: usually prefer Dopamine, then Epi
Source
7/1/09 Pani
Agent SVR BP PCW CO Dopa >5 ++ ++ + - Dopa <5 -- - Dobuta -- +/- - + D+D (7.5/2.5-5) + +/- + Levo ++++ ++ ++ --
DOPA >5 watch for inc HR/PVC
DOPA<5 coronary vasodilator
Dobutamine = 2.5-5; for RV infarct; develop tachyphylaxis
Levophed- large bore IV; Inc HR
Milrinone= similar to dobutamine
Sepsis: Levophed or Dopamine
Cardiogenic: Dobutamine
Kids: usually prefer Dopamine, then Epi
Source
7/1/09 Pani
