What are nursing implications for dobutamine?
Nursing considerations
- Observe IV site closely and avoid extravasation. Dobutamine can cause inflammatory response and tissue ischaemia.
- Monitor for adverse reactions.
- Continuous blood pressure monitoring.
- Continuous cardiorespiratory monitoring.
- Document vital signs hourly and PRN.
- Monitor fluid balance.
What should I monitor with dobutamine?
Monitor blood pressure and cardiac rhythm continuously during therapy. Hemodynamic monitoring of all parameters is recommended during dobutamine therapy.
What is contraindicated with dobutamine?
The medication is contraindicated in patients with acute myocardial infarction, unstable angina, left main stem disease, severe hypertension, arrhythmias, acute myocarditis or pericarditis, hypokalemia and idiopathic hypertrophic sub-aortic stenosis.
Does dobutamine have a black box warning?
Warnings. Dobutamine may cause a marked increase in heart rate or blood pressure, especially systolic pressure. Dobutamine may cause a marked increase in heart rate or blood pressure, especially systolic pressure.
Does dobutamine increase heart rate?
Dobutamine generally decreases cardiac filling pressures and pulmonary vascular resistance. Dobutamine has a variable effect on heart rate, but can significantly increase heart rate (particularly at the higher concentrations used in stress echocardiography).
Does dobutamine increase blood pressure?
Dobutamine may cause a marked increase in heart rate or blood pressure, especially systolic pressure. Approximately 10% of patients in clinical studies have had rate increases of 30 beats/minute or more, and about 7.5% have had a 50 mm Hg or greater increase in systolic pressure.
Can dobutamine cause bradycardia?
Induction of this reflex increases parasympathetic activity and inhibits sympathetic activity, resulting in bradycardia, which may be accompanied by vasodilation, nausea and hypotension.
Does dobutamine raise blood pressure?
What is the side effects of dobutamine?
What are the side effects of Dobutamine (Dobutrex)?
- shortness of breath (even with mild exertion), swelling, rapid weight gain;
- chest pain, fast or pounding heartbeats;
- a light-headed feeling, like you might pass out;
- wheezing, chest tightness;
Can dobutamine cause tachycardia?
Dobutamine can produce tachycardia, arrhythmias, and hypertension. Dobutamine can exacerbate myocardial ischemia in susceptible patients by increases in heart rate and contractility.
Does dobutamine cause bradycardia?
Does dobutamine drop blood pressure?
In non-responders, dobutamine mainly acted as a vasodilator, since blood pressure decreased, and cardiac index marginally increased.