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Dopamine Drug Study

Dopamine 250/200 mL at 15cc/hr is an inotrope and vasopressor used to improve blood pressure, cardiac output, and urine output in patients with shock unresponsive to fluids. It can cause side effects like arrhythmias, hypotension, and nausea. Nurses must closely monitor vital signs, urine output, and ECG during administration and report any significant changes to the physician, who may adjust the dose or discontinue the drug. Special care is required due to the risk of hypotension and potential danger of intravenous vasoactive medications.

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Anne de Vera
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3K views3 pages

Dopamine Drug Study

Dopamine 250/200 mL at 15cc/hr is an inotrope and vasopressor used to improve blood pressure, cardiac output, and urine output in patients with shock unresponsive to fluids. It can cause side effects like arrhythmias, hypotension, and nausea. Nurses must closely monitor vital signs, urine output, and ECG during administration and report any significant changes to the physician, who may adjust the dose or discontinue the drug. Special care is required due to the risk of hypotension and potential danger of intravenous vasoactive medications.

Uploaded by

Anne de Vera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Name of

Drug

General Action

Indications

Contraindications

Adverse Reaction

Nursing Responsibilities

Dopamine
250/200
mL
@15cc/hr

Inotropics,
Vasopressors,
Therapeutic:
adrenergics

Adjunct to
standard
measures to
improve: Blood
pressure,
Cardiac output,
Urine output in
treatment of
shock
unresponsive to
fluid
replacement.

Contraindicated
in:
Tachyarrhythmi
as
Pheochromocyt
oma
Hypersensitivity
to bisulfites
(some products).
Use Cautiously in:
Hypovolemia
Myocardial
infarction
Occlusive
vascular diseases

CNS: Headache.
EENT: Mydriasis
(High Dose).
Resp: Dyspnea.
CV: Arrhythmias,
Hypotension,
Angina, ECG
Change,
Palpitations,
Vasoconstriction.
GI: Nausea,
Vomiting.
Local: Irritation At
IV Site.

Assessment
Monitor blood pressure, heart
rate, pulse pressure, ECG,
pulmonary capillary wedge
pressure (PCWP), cardiac
output, CVP, and urinary output
continuously during
administration. Report
significant changes in vital signs
or arrhythmias. Consult
physician for parameters for
pulse, blood pressure, or ECG
changes for adjusting dose or
discontinuing medication.
Monitor urine output
frequently throughout
administration. Report
decreases in urine output
promptly.
If hypotension occurs,
administration rate should be
increased. If hypotension
continues, more potent
vasoconstrictors
(norepinephrine) may be
administered.
Implementation
High Alert: IV vasoactive
medications are potentially
dangerous. Have second
practitioner independently
check original order, dose
calculations and infusion pump

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