Drug Study On DOPAMINE

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A Drug Study on

DOPAMINE

In Partial Fulfillment of the Requirements in

NCM 109 – RLE

Care of Mother, Child at Risk or With Problems

Submitted to:

Mr. Lendell Kelly B. Ytac, RN

Clinical Instructor

Submitted by:

Clint S. Ancog

BSN – 2A
Generic Name: dopamine (injection) (DOE pa meen)
Brand Name: Intropin

Drug Class: Inotropic agents

What is Dopamine?

Dopamine is a medication form of a substance that occurs naturally in the


body. It works by improving the pumping strength of the heart and improves blood
flow to the kidneys.

Dopamine injection (Intropin) is used to treat certain conditions that occur


when you are in shock, which may be caused by heart attack, trauma, surgery, heart
failure, kidney failure, and other serious medical conditions.

Dose

 Adult Dose of Dopamine for Nonobstructive Oliguria

Initial dose: 1 to 5 mcg/kg/min by continuous IV infusion.


Titrate to desired response. Administration at rates greater than 50 mcg per
kg per minute have been used safely in serious situations.

 Adult Dose of Dopamine for Shock

Initial dose: 1 to 5 mcg/kg/min by continuous IV infusion.


Titrate to desired response. Administration at rates greater than 50 mcg per
kg per minute have been used safely in serious situations

 Pediatric Dose for Nonobstructive Oliguria

less than 1 month: 1 to 20 mcg/kg/min by continuous IV infusion, titrated to


desired response.

1 month or older: 1 to 20 mcg/kg/min by continuous IV infusion, titrated to


desired response. Maximum of 50 mcg/kg/min.
 Pediatric Dose for Shock

less than 1 month: 1 to 20 mcg/kg/min by continuous IV infusion, titrated to


desired response.

1 month or older: 1 to 20 mcg/kg/min by continuous IV infusion, titrated to


desired response. Maximum of 50 mcg/kg/min.

Indications

 Shock
 Hemodynamic imbalance
 Hypotension
 Heart failure

Contraindications

 Hypersensitivity to drug or bisulfites


 Tachyarrhythmia, ventricular fibrillation
 pheochromocytoma

Side Effects

 headache;
 feeling anxious;
 nausea, vomiting; or
 chills, goose bumps.

Adverse Side Effects

 a light-headed feeling, like you might pass out (even while lying down);
 chest pain;
 fast, slow, or pounding heartbeats;
 shortness of breath;
 cold feeling, numbness, or blue-colored appearance in your hands or feet; or
 darkening or skin changes in your hands or feet.

Drug Interaction

 Acetylsalicylic Acid (aspirin)


 Activated Charcoal (charcoal)
 Adrenalin (epinephrine)
 Ativan (lorazepam)
 Atrovent (ipratropium)
 Benadryl (diphenhydramine)
 Cardizem (diltiazem)
 Dextrose (glucose)
 Dilaudid (hydromorphone)
 Heparin Sodium (heparin)
 Lasix (furosemide)
 Levophed (norepinephrine)
 Morphine Sulfate ER (morphine)
 Paracetamol (acetaminophen)
 Plavix (clopidogrel)
 Solu-Medrol (methylprednisolone)
 Valproate Sodium (valproic acid)
 Versed (midazolam)
 Vitamin K (phytonadione)
 Zofran (ondansetron)

Nurse Responsibilities
1. During the infusion, keep an eye on your blood pressure, pulse, urine
production, and pulmonary artery wedge pressure.
2. Discuss why it's important to keep a close eye on the patient during the
infusion.
3. Instruct the patient to convey any negative reactions or irritation at the I.V.
site.
4. Evaluate any other serious and life-threatening adverse reactions and
interactions, particularly those related to the drugs and tests listed above, as
needed.

References

Sinha S. (April 2019). Dopamine Injection. Retrieved from: https://www.drugs.

com/dopamine.html

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