Page 196 - AACN Essentials of Critical-Care Nursing Pocket Handbook, Second Edition

Comments Doses 20-30 mcg/kg/min usually produce no added response; 2 mcg/kg/min may protect kidneys when giving other vasopressors Mixed vasoconstrictor/inotrope; stronger inotrope than norepinephrine; does not constrict coronary or cer

Pharmacologic Effects as needed to maintain BP increased 0.04 U/min

CHT 1 2 3 2 3 2 — —

INT 2 4 3 4 3 1 — —

VC — — 3 1 3 4 4 4

VD — — — 1 — — — —

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

Vasoactive Agents (continued) — — 3 1 4 4 4 —

Agent and Dose Dopamine 2-5 mcg/kg/min 5-10 mcg/kg/min 10-20 mcg/kg/min Epinephrine 0.01-0.05 mcg/kg/min 0.05 mcg/kg/min Vasopressors Norepinephrine 2-20 mcg/min titrate to effect Phenylephrine Start at 30 mcg/min IV and titrate
7.3 Mixed