Jan 2, 2017
Reviewing the most important things to know for administering the ACLS drug dopamine.
Dopamine is an ACLS drug used to treat bradycardia and hypotension. It is a second-line treatment for bradycardia, intended to be used if Atropine, bradycardia’s first-line of treatment, is rendered ineffective. Dopamine is a neurotransmitter that is used to maintain heart rate and blood pressure by constricting blood vessels, increasing heart rate, and increasing the heart’s contraction force.
The typical infusion rate for dopamine is 2-20 mcg/kg/min. Titrate to patient response, and taper on/off slowly.
- Extravasation causes tissue damage and necrosis
- If giving high dopamine dosage through peripheral IV site, use with caution
- Correct hypovolemia with volume replacement before initiating
- May cause tachyarrhythmias and/or excessive vasoconstriction
- Do not mix with sodium bicarbonate
For a brief review of all the ACLS medications you should be familiar with, check out this short video. It acts as a great visual reference that will help you study more efficiently and effectively. If you are interested in obtaining your ACLS Recertification online, click the button below that corresponds to your required course in order to learn more!