Dopamine

(Intropin)

 

 

Indications:

 

  • Cardiogenic shock associated with hypotension

 

Contraindications:

 

  • Hypovolemic shock where complete fluid resuscitation has not occurred
  • Uncorrected tachydysrhythmias or V-Fib.

 

Side Effects:

 

  • Tachydysrhythmias
  • Ectopy
  • Headache
  • Angina
  • Nausea
  • Vomiting

 

Adult Dosage:

 

  • 5-20 mcg/kg/min IV/IO
  • Mix 80 mg (2 mL) Dopamine in 50 mL NS bag = 1600 mcg concentration use 60 gtt set for desired rate.

 

PEDIATRIC:

 

  • 2-5 mcg/kg/min IV/IO initially, up to 20 mcg/kg/min titrated to B/P
  • **Direct Medical Order Required**