DOBUTAMINE

Indications & Dose:

Cardiogenic shock in infarction or cardiac surgery

• BY INTRAVENOUS INFUSION

Adult: Initially 2–5 micrograms/kg/minute

Contraindications:

Hypertrophic cardiomyopathy, uncontrolled atrial fibrillation or flutter (unless a digitalis preparation is used prior to starting therapy with dobutamine)

Side Effects:

CNS: Anxiety, dizziness, headache, paresthesia

CV:Angina,  dysrhythmia,palpitations, PVCs, tachycardia

GI: Heartburn, nausea, vomiting

METAB: Hypokalemia

MS: Leg cramps

Cautions:

Precautions:

Children, hypertension, sulfite sensitivity (preparation may contain sulfite)

Pregnancy; excreted in breast milk

Interaction:

Drugs

 • Sodium bicarbonate: Alkalinizing substances inactivate dobutamine

Warnings:

Adverse Effects:

Lactations:

Special Precautions:

Counselling:

Side Effects Or Adverse Reactions:

Patient And Carer Advice: