Virtual Drug Bag

DOPAMINE (JITSO)

PACKAGED: Premixed 250 ml bag, 400 mg/250 ml, 1600 mcg/ml

LOCATION: Not carried in drug bag

INDICATIONS:
Shock with or without Pulmonary Edema
Bradycardia with BP < 100

ADULT: 
Shock: Dopamine drip, 5 to 20 mcg/kg/min of 400 mg/250 ml; increase by increments of 5 mcg/kg/min.
Bradycardia: Start at 5 mcg/kg/min; increase up to 20 mcg/kg/min. Titrate to keep BP > 100.
DO NOT EXCEED 20 mcg/kg/min.

PEDI:
Shock: Dopamine drip, 5 to 20 mcg/kg/min of 400 mg/250 ml; start at 5 mcg/kg/min. Titrate to maintain adequate perfusion.

THERAPEUTIC ACTION:
Acts on alpha, beta and dopaminergic receptors in dose dependent fashion; increases cardiac output in higher doses

CONTRAINDICATION:
None in the emergency setting.

PRECAUTIONS AND SIDE EFFECTS:
Dose related tachydysrhythmias, hypertension, increased myocardial oxygen demand (ischemia). Infuse through large stable vein to avoid possibility of extravasation injury. Correct hypovolemia prior to using Dopamine.

REQUIRES MCP:
ADULT: No 
PEDI: No