Vasopressors

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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

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