Page 195 - AACN Essentials of Critical-Care Nursing Pocket Handbook, Second Edition
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                    Comments  Useful for acute management of low cardiac  output states; in chronic CHF intermittent infusions palliate symptoms but do not  Used primarily for temporizing treatment of  Useful for acute management of low cardiac  output states; can
                 Pharmacologic Effects  prolong survival  life-threatening bradycardia  dobutamine  thrombocytopenia  dobutamine







                    CHT    1   2   4       3          3

                    INT    3   4   4       3          3

                    VC     1   1   —       —          —


                    VD     1   2   3       2          2

                    SM  DM  —  —  —  —  —  —  2   —   2   —
                 Receptor Specificity    2    1  2   3   3   4   3   4   —   —   —  —




              Vasoactive Agents     1   2   —  —      —










                    Agent and Dose  Dobutamine  2-10 mcg/kg/min   10- 20 mcg/kg/min  Isoproterenol  2-10 mcg/kg/min  Loading dose:  0.75 mg/kg  Maintenance dose:  5-15 mcg/kg/min  Loading dose:  50 mcg/kg   over 10 min  Maintenance dose:  0.375-0.75  mcg/kg/min
              7.3      Inotropes    Inamrinone  Milrinone
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