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Dobutamine (Dobutrex)
CLASS:
ACTION:
Positive inotro=
pic
effects (increased force of systolic contraction) with little chronotr=
opic
effects (increased heart rate)
INDICATION:
CHF when increa=
sed
cardiac output without increased heart rate is desired
CONTRAINDICATION:
Not used as sole
agent in hypovolemic shock unless fluid resuscitation is under way
PRECAUTIONS:
Increase in hea=
rt
rate of > 10 % may induce or exacerbate myocardial ischemia Have Lidocaine
available due to PVCs
SIDE
EFFECTS:
Nervousness Headache Hypertension Dysrhythmias Palpitations Chest pain=
Dyspnea
DOSAGE/ROUTE:
2-20 mcg/kg/min=
Dilute in 500 m=
l or
1000 ml D5W and administered via IV infusion
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