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1 - Dopamine

Dopamine hydrochloride is used to correct hemodynamic imbalances present in shock after MI, trauma, endotoxic septicemia, surgery, renal failure, or decompensation. It is administered intravenously at an initial dose of 2-5mcg/kg/min with 15 minute intervals until an adequate response is noted. Contraindications include use in patients with pheochromocytoma or hypothyroidism, or in the presence of uncorrected tachyarrhythmia or ventricular fibrillation. Adverse reactions include tachycardia, angina pain, palpitations, hypotension, vasoconstriction, hypertension, and headache. Nursing considerations include monitoring vital signs and ECG

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0% found this document useful (0 votes)
21 views

1 - Dopamine

Dopamine hydrochloride is used to correct hemodynamic imbalances present in shock after MI, trauma, endotoxic septicemia, surgery, renal failure, or decompensation. It is administered intravenously at an initial dose of 2-5mcg/kg/min with 15 minute intervals until an adequate response is noted. Contraindications include use in patients with pheochromocytoma or hypothyroidism, or in the presence of uncorrected tachyarrhythmia or ventricular fibrillation. Adverse reactions include tachycardia, angina pain, palpitations, hypotension, vasoconstriction, hypertension, and headache. Nursing considerations include monitoring vital signs and ECG

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dianneangela
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Generic Name Classification Indication

Columban
Dosage
College
Contraindicati
on
Adverse
Reaction
Nursing
Consideration
College of Nursing
Barretto, Olongapo City
Generic name: Sympathomim Correction of IV- initial- 2- Should not be tachycardia - Monitor VS and
etic direct hemodynamic 5mcg/kg/ min use in pt. angina pain ECG during
Dopamine acting imbalances with 15mins phaecromocyto palpitations infusion.
present in shock interval until ma or hypotension
after MI, trauma, adequate hypothyroidism vasoconstriction - Monitor for
endotoxic response is note. nor in the hypertension possible adverse
septicemia, presence of headache reaction.
MOC: surgery, renal uncorrected anxiety - Monitor BP
Immediate failure, or tachyarrhythmia N&V closely for sudden
precursor of decompensation. or ventricular dyspnea drop after drug
Brand name: epinephrine in fibrillation. stop.
the body,
Dopamine exogenous - Emphasize the
hydrochloride administration importance of
produces direct reporting
stimulation of discomfort at IV
beta-1 site.
receptors and
variable - Advise pt. to be
stimulation of aware and to report
alpha all identified
receptors, will adverse reactions.
cause release - Explain to pt. the
of reason for all
norepinephrine monitoring and
from storage done procedure.
sites. These
actions results
in myocardial
contraction and
CO, systemic
vasoconstrictio
n as well as
increase renal
blood flow and
Na excretion.

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