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Neonatal Intensive Care Drug Manual
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bet | 185/654 | Sana | 03.01.2022 | Hajmi | 1,5 Mb. | | #14803 |
Dopamine IV Infusion
Revision Date : 5-1-2021
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Approved : TC, KOH
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Alert
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Ensure dopamine has a "dedicated" line to avoid accidental bolus. Do not use as a side line with maintenance fluids.
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Indication
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Treatment of hypotension. May also be used to improve renal perfusion.
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Action
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Catecholamine with alpha and beta adrenergic, dopaminergic and serotoninergic actions
Haemodynamic effects are dose dependent:1
•Low dose 1 to 5 microgram/kg/min – increases renal blood flow and glomerular filtration rate.
•Intermediate dose 5 to 10 microgram/kg/min – increases cardiac output and blood pressure. Increases renal blood flow.
•High dose 10 to 20 microgram/kg/min – systemic vasoconstrictor effect outweighs all other effects2. Reduces renal blood flow1.
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