MICU intern's survival guide vasopressors: Difference between revisions
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Line 6: | Line 6: | ||
* Indication: | * Indication: | ||
** Septic shock | ** Septic shock | ||
** Cardiogenic shock - Recent studies have shown that norepinephrine may be better than dobutamine in cardiogenic shock as there are less risks for tachyarrhythmias | ** Cardiogenic shock - Recent studies have shown that norepinephrine may be better than dobutamine in cardiogenic shock as there are less risks for tachyarrhythmias. | ||
** In cases where the type of shock is unclear norepinephrine can be tried as first line agent. | |||
===Dobutamine=== | ===Dobutamine=== |
Revision as of 03:58, 23 December 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Norepinephrine
- Mechanism of action - Acts on both alpha1 (vasoconstriction of blood vessels) and beta1 receptors (increases cardiac output).
- Indication:
- Septic shock
- Cardiogenic shock - Recent studies have shown that norepinephrine may be better than dobutamine in cardiogenic shock as there are less risks for tachyarrhythmias.
- In cases where the type of shock is unclear norepinephrine can be tried as first line agent.