Norepinephrine (Levo)

Question 1

Class

Answer 1

Vasopressor

Question 2

Supplied

Answer 2

4 mg / 4 ml (1 mg/ml) 4 ml vial

Question 3

Adult dose

Answer 3

2-12 mcg/min IV, titrate to a MAP or BP.

Question 4

Max adult dose

Answer 4

12 mcg/min

Question 5

Pediatric dose

Answer 5

0.1 mcg/kg/min IV, titrate to goal MAP or BP, usual dose is 0.05 to 0.3 mcg/kg/min.

Question 6

Max pediatric dose

Answer 6

6 mcg/min

Question 7

Action

Answer 7

Alpha and beta adrenergic activity with potent inotropic effect and coronary artery vasodilation.

Question 8

Considerations

Answer 8

Inject 4 mg /4 ml vials (16 ml) into 250 ml of NS. (64 mcg/ml). Risk of extravasation, use large peripheral veins or central line if available.

Question 9

Side effects

Answer 9

CNS: Headache
CV: Tachycardia, hypertension, dysrhythmias

Question 10

Indication

Answer 10

Hypotension, Shock