Indications & Dose:
Cardiogenic shock in infarction or cardiac surgery BY INTRAVENOUS INFUSION Adult: Initially 2–5 micrograms/kg/minute
Contraindications:
Pheochromocytoma, uncorrected tachydysrhythmia or ventricular fibrillation
Side Effects:
CNS: Headache CV: Aberrant conduction, anginal pain, bradycardia, ectopic beats, hypertension, palpitation, tachycardia, vasoconstriction, widened QRS complex EENT: Dilated pupils (high doses) GI: Nausea, vomiting GU: Azotemia RESP: Dyspnea SKIN: Gangrene (high doses for prolonged periods of time), necrosis, piloerection, tissue sloughing with extravasation
Cautions:
Precautions:
Hypovolemia, arterial embolism, occlusive vascular disease, abrupt discontinuation, sulfite sensitivity, concurrent use of MAOIs PREGNANCY; because dopamine is indicated only in life threatening situations, chronic use would not be expected; no data available regarding use in breast feeding
Interaction:
Drugs Ergot alkaloids: Gangrene has been reported Phenytoin: Increased risk of hypotension with IV phenytoin administration
Warnings:
Adverse Effects:
Lactations:
Special Precautions:
Counselling:
Side Effects Or Adverse Reactions:
Patient And Carer Advice:
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