Adrenaline receptors
B2 B1 A1
Noradrenaline
A1
Dobutamine
B1
B2
Vasopressin
V1
Metaraminol
A1, B
Metaraminol
A1, B
Dopamine receptors
DA1 (low)
B1 (med)
A1 (high)
Dopamine high dose
B1 receptor stimulation: increases Cardiac contractility and HR leading to increase in Bp
A receptors : vasoconstriction
Dopamine low dose
DA receptors stimulation in the mesmeric, renal and coronary beds resulting in vasodilation ( renal dose)
Dobutamine how it works
Improved contractility without increased HR and SVR (systemic vascular resistance)
When is Metaraminol used
Acute hypotension
Indication of adrenaline
Shock (carcinogenic), cardiac arrest, bronchospasm, symptomatic bradycardia