Dobutamine

Question 1

Brand Name

Answer 1

Dobutrex

Question 2

Drug Class

Answer 2

Sympathomimetic

Question 3

Mechanism of Action

Answer 3

Increased contractility, SV and CO with minimal increase in HR
Increased renal blood flow

Question 4

Indications

Answer 4

Cardiogenic shock, CHF, left ventricular dysfunction

Question 5

Contraindications

Answer 5

Tachydysrhythmias, severe hypotension, idiopathic hyprtrophic subaortic stenosis (IHSS), suspected drug/poison induced coma

Question 6

Adverse Effects

Answer 6

H/A, dyspnea, HTN, CP, dysrhythmias, PVC’s, N/V

Question 7

Precautions

Answer 7

Incompatible with sodium bicarb and furosemide

Beta blockers will blunt inotropic effects

Question 8

Dose and Administration

Answer 8

2-20mcg/kg/min titrate to effect
Max dose 40mcg/kg/min
Not recommended in pediatrics