What should I monitor with dobutamine?
During the administration of dobutamine injection, as with any adrenergic agent, ECG and blood pressure should be continuously monitored. In addition, pulmonary wedge pressure and cardiac output should be monitored whenever possible to aid in the safe and effective infusion of dobutamine hydrochloride.
What should be assessed before giving dobutamine?
Assessment
- Monitor BP, heart rate, ECG, pulmonary capillary wedge pressure (PCWP), cardiac output, CVP, and urinary output continuously during the administration.
- Palpate peripheral pulses and assess appearance of extremities routinely during dobutamine administration.
How do you administer dobutamine?
Because of its short half-life, Dobutamine 12.5 mg/ml concentrate for solution for infusion is administered as a continuous intravenous infusion. After dilution, it should be administered through an intravenous needle or catheter using an IV drip chamber or other suitable metering device to control the rate of flow.
What is the action of dobutamine?
Dobutamine is a direct-acting agent whose primary activity results from stimulation of the β1-adrenoceptors of the heart, increasing contractility and cardiac output.
Why do we give dobutamine?
Dobutamine stimulates heart muscle and improves blood flow by helping the heart pump better. Dobutamine is used short-term to treat cardiac decompensation due to weakened heart muscle. Dobutamine is usually given after other heart medicines have been tried without success.
When should you not take dobutamine?
In general, caution should be exercised when administering dobutamine in patients with moderate or severe hypotension (eg, systolic blood pressure <80 mm Hg), because the peripheral vasodilation, in some cases, may cause a further fall in blood pressure.
Can dobutamine be given IV push?
Due to its short half-life, dobutamine must be administered as a continuous intravenous infusion. The dose of dobutamine should be gradually reduced when discontinuing therapy.
What is dobutamine used for?
Dobutamine is indicated for patients who require positive inotropic support in the treatment of cardiac decompensation due to depressed contractility resulting either from organic heart disease or from cardiac surgical procedures, especially when a low cardiac output is associated with raised pulmonary capillary …
What are side effects of dobutamine?
Common side effects of dobutamine include:
- increased heart rate and increased blood pressure,
- ventricular ectopic activity,
- nervousness,
- headache,
- nausea,
- vomiting,
- palpitations,
- low platelet counts (thrombocytopenia), or.
What is the antidote for dobutamine?
Side effects of dobutamine can be reverted by metoprolol (1–5 mg) or esmolol intravenously, if chest pain or arrhythmias do not resolve after termination of dobutamine infusion.
What are the side effects of dobutamine?
What is dobutamine used to treat?
What is the nursing responsibility in giving dobutamine?
Nursing dobutamine: Usually this drug is given in a special care unit. The nurse monitors the patients vital signs, i&o, infusion rate and CNS state. For any signs out of ordered parameters the nurse reports to the md or follows established protocols. Answered on Jun 10, 2014
The medicine Dobutamine is used to treat Low Cardiac Output
What are the nursing considerations for dopamine?
NURSING CONSIDERATIONS. Dopamine must be given via a CVC, but can be used through normal cannula, strict observation of site to ensure extravasation does not occur. Extravasation of Dopamine into tissue will cause necrosis, ischaemia, and sloughing of the area.
Is dobutamine a vasopressor?
Dopamine, vasopressor, Dobutamine, is an inotrope not a vasopressor. Dobutamine actually exhibits primarily beta 1 effects to aid an increasing cardiac output. We remember that on our heart we have beta 1 receptors, and as those receptors are stimulated, we’re going to have a positive inotropic effect.