Protocol Status: PUBLISHED
Protocol:
Version: 2026.01
Effective Date:
Last Reviewed:
Medical Director Approval:
Clinical Note: This content reflects current GCEMS clinical guidelines as of the dates listed above. If content appears inconsistent with current policy, use the most recent approved guideline and notify leadership for correction.

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**