Isoproterenol:
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Synthetic Sympathomimetic
Amine |
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Adjust infusion rate to desired
HR, CVP, BP, and UO. |
2-10 mcg/min |
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Maybe your patient still needs
more... |
10-20 mcg/min |
A
pure b-agonist,
produces a strong positive inotropic effect, relaxes bronchial smooth muscles,
and increases vasodilation in the periphery.
Can be used for bronchial asthma, and reversible bronchospasm via
nebulizers. Effective
for b-blocker
overdose, and sometimes for bradycardia, and torsades.
Side
Effects: AMI, VT/VF, hypotension, bronchitis, pulmonary edema, hypokalemia,
Sz, angina, HA, anxiety, N/V, and more!
Contraindicated:
AMI, cardiac arrest, digitalis toxicity, hypokalemia, and poison-induced
shock. High
doses should only be used in b-blocker
overdose.
Use
cautiously with other sympathomimetics, and with simultaneous b-blocker
use.
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