types of Catecholamines
Norepinephrine
Epinephrine
Isoprenaline
Dopamine
Norepinephrine
α > β1 >>> β2 short DOA for shocks (not anaphylactic) ↑ MAP ↑Sys ↑Dia ↑PP causes reflex bradycardia
Epinephrine
β1 = β2 > α short DOA Bronchodilation for anaphylactic shock no dramatic change in MAP LD: ↓Dia HD: ↑Sis => ↑PP given w/ local anesthetics
Isoprenaline
β1 = β2
Bronchodilation
for bradycardia and heart block
↓ MAP ↓Dia
Dopamine
D > β > α
LD: D1 ,MD: β1 & HD: no selectivity => +α
LD: increase renal blood flow; MD: +tive inotropic effect
for cardiogenic shock
bad pharmacokinetics