Dopamine (Inotropin) Nursing Considerations
You're watching a preview. 300,000+ students are watching the full lesson.
Included In This Lesson
Study Tools For Dopamine (Inotropin) Nursing Considerations
NURSING.com students have a 99.25% NCLEX pass rate.
Outline
Generic Name
dopamine
Trade Name
Inotropin
What is the indication for Dopamine?
used to improve blood pressure, cardiac output, and urine output
Action
Smaller doses result in renal vasodilation
Doses 2-10mcg/kg/min result in cardiac stimulation by acting on beta1 receptors
Doses >10mcg/kg/min stimulate alpha receptors leading to vasoconstriction (↑SVR)
What is the therapeutic class for Dopamine?
inotropic, vasopressor
Pharmacologic Class
adrenergic
Nursing Considerations for Dopamine (Inotropin)
• Monitor hemodynamics closely: BP, HR, EKG, CVP, and PAOP if available
• Obtain parameters for hemodynamic values
• Titrate to obtain appropriate BP (more potent vasoconstrictors may be required)
• Irritation may occur at IV site
• Beta blockers may counteract therapeutic effects
Dopamine Audio Lecture
Unlock the Complete Study System
Used by 300,000+ nursing students. 99.25% NCLEX pass rate.
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
Transcript
Let’s take a look at dopamine, also known as Inotropin. This is an IV medication, as you can see here with the vial. So remember when we talk about the therapeutic class, we’re talking about the way the drug works in the body while the pharmacologic class is the chemical effect of the drug. So the therapeutic class of dopamine is an inotropic agent, as well as a vasopressor and the pharmacologic class is adrenergic. So it’s important to mention that dopamine in smaller doses does result in renal vasodilation, doses between two and 10 mcg/kg/minute results in cardiac stimulation, while doses that are greater than 10 mcg/kg/min stimulates alpha receptors leading to vasoconstriction. So dopamine, depending on the dose, is indicated to improve blood pressure, cardiac output, and urine output.
With dopamine, we do see some side effects which can include arrhythmias, anxiety, nausea, and headache. So let’s take a look at a few nursing considerations for dopamine. You must monitor the hemodynamics closely, which would include blood pressure, heart rate, EKG, CVP, or central venous pressure, pulmonary artery occlusion pressure, or PAOP. And with this, make sure you know what the parameters are for the hemodynamic values that you are monitoring closely. So with dopamine, we are able to titrate the medication to get the desired blood pressure, but sometimes more potent vasoconstrictors are needed to achieve that desired blood pressure. Dopamine does interact with beta-blockers as beta-blockers can counteract to therapeutic effects of dopamine. So keep this in mind and make sure to teach your patient signs of a reaction which include wheezing, chest tightness, fever, and itching. Guys. I can remember when I was working in the ICU, a fellow nurse infused dopamine and dobutamine, which led to questioning an order that was given, which ended up really making the nurse feel embarrassed. I do not want that to happen to you. So remember there is a difference between these two medications. Guys, dopamine has an alpha effect while dobutamine has a beta effect. Check out our other lesson on dobutamine.
That’s it for dopamine or Inotropin. Now go out and be your best self today. And as always happy nursing.
Study Faster with Full Video Transcripts
99.25% NCLEX Pass Rate vs 88.8% National Average
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
Nursing School Doesn't Have To Be So Hard
Go from discouraged and stressed to motivated and passionate
pharmacology
Concepts Covered:
- Pregnancy Risks
- Medication Administration
- Prenatal Concepts
- Labor Complications
- Newborn Care
- EENT Disorders
- Intraoperative Nursing
- Depressive Disorders
- Disorders of the Thyroid & Parathyroid Glands
- Postpartum Complications
- Bipolar Disorders
- Psychotic Disorders
- Anxiety Disorders
- Postoperative Nursing
- Cardiac Disorders
- Central Nervous System Disorders – Brain
- Peripheral Nervous System Disorders
- Shock
- Neurologic and Cognitive Disorders
- Vascular Disorders
- Lower GI Disorders
- Respiratory Disorders
- Urinary Disorders
- Substance Abuse Disorders
- Cardiovascular Disorders
- Acute & Chronic Renal Disorders
- Disorders of Pancreas
- Upper GI Disorders
- Gastrointestinal Disorders
- Neurological
- Noninfectious Respiratory Disorder
- Immunological Disorders
- Male Reproductive Disorders
- Infectious Respiratory Disorder
- Microbiology
- Female Reproductive Disorders
- Emergency Care of the Cardiac Patient
- Hematologic Disorders
- Integumentary Disorders
- Disorders of the Adrenal Gland
- Liver & Gallbladder Disorders
- Sexually Transmitted Infections
- Nervous System
- Learning Pharmacology
- Dosage Calculations
- Concepts of Pharmacology
- Disorders of the Posterior Pituitary Gland