Pressors and Inotropes
Mark BromleyEmergency Medicine PGY5
α
α
α
α
Vasopressors
β1 agonist: chronotropic, inotropic β2 agonist: vasodilation, bronchodilation α: vasoconstriction D: increases renal blood flow
Need CO Need nothing
Need BP and CO Need BP
BP
Cardiac OutputLow Normal
Low
Normal
DobutamineMilrinone
Nothing
DopamineLevophed
EpinepherineOr
Dobutamine/Phenyl
PhenylepherineLevophed
(Dopamine)
BP
Cardiac Output
Low Normal
Low
Normal
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