Vasopressors

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