Vasopressors

MAP = SVR X CO

Agent	SVR	BP	PCW	CO
Dopa >5	++	++	+	-
Dopa <5	--	-
Dobuta	--	+/-	-	+
D+D (7.5/2.5-5)	+	+/-	+
Norepi	++++	++	++	--

• DOPA >5 watch for inc HR/PVC
• DOPA<5 coronary vasodilator

• Dobutamine = 2.5-5; for RV infarct; develop tachyphylaxis

• Norepinephrine- large bore IV; Inc HR

• Milrinone= similar to dobutamine

• Sepsis: Norepi or Dopamine

• Cardiogenic: Dobutamine

• Peds: usually prefer Dopamine, then Epi

Source

Tintinalli