Drug Data Classification Mechanism of Action Indication Contraindications Adverse Reaction Nursing Responsibilities

Generic Name Pharmacologic Drug acts directly and by the - Correction of Concentrations CNS: Headache, anxiety Before
Dopamine HCl Class release of norepinephrine hemodynamic - Pheochromocytoma - Assess for contraindications.
Alpha-adrenergic from sympathetic nerve imbalances present in - Tachyarrhytmias - Assess body weight, skin color,
CV: Ectopic beats, V/S, urine output, serum
Trade Name antagonist terminals; dopaminergic the shock syndrome - Ventricular tachycardia, anginal pain, electrolytes, Hct, ECG.
Intropin Beta1-selective receptors mediate dilation of due to MI, trauma, fibrillation palpitations, hypotension, - Exercise extreme caution in
adrenergic vessels in the renal and endotoxic septicemia, - Hypovolemia vasoconstriction, dyspnea, calculating and preparing doses;
Content antagonist splanchnic beds, which open heart surgery, - General anesthesia bradycardia, hypertension, dopamine is very potent.
Dopamine HCl maintains renal perfusion and renal failure, and with halogenated widened QRS - Use in acute emergency
Therapeutic function; alpha receptors, chronic cardiac hydrocarbons or situations.
Dosage Class which are activated by higher decompensation in cyclopropane, which - Observe the 15 rights of drug
GI: Nausea, vomiting administration.
2-5 mcg/kg/min IV Dopaminergic doses of dopamine, mediate heart failure sentisize the
drug vasoconstriction, which can - Poor perfusion of myocardium with
Sympatho- override the vasodilating vital organs catecholamines Other: Piloerection, During
Availability azotemia, gangrene with - Reduce initial dosage to one-
Injection: 40, 80, mimetic effects; beta1 receptors - Low cardiac output tenth of usual dose in patients who
mediate a positive inotropic - Hypotension Precaution prolonged use
160 mg/mL have been on MAOIs.
Injection in 5% Pregnancy effect on the heart. - Unlabeled Uses: - Atherosclerosis - Administer into large veins of the
dextrose: 80, 160, category COPD, heart failure, - Arterial embolism antecubital fossa in preference to
320 mg/100 mL C RDS in infants - Raynaud's disease veins in hand or ankle.
- Cold injury - To prevent sloughing and
- Frostbite necrosis after extravasation,
- Diabetic endarteritis infiltrate area with 10-15 mL saline
- Buerger's disease containing 5-10 mg phentolamine.
Do ASAP.
- Pregnancy - Monitor urine flow, cardiac
- Lactation output, and BP closely during
infusion.

After
- Monitor client for at least 30
minutes.
- Educate client on the side effects
of the medication and what to
expect.
- Instruct client to report pain at
injection site.
- Dispose of used materials
properly.
- Document that drug has been
given.
Source: Source: Source: Source: Source: Source: Source:
Karch, Amy: 2009 Karch, Amy: 2009 Karch, Amy: 2009 Lippincott’s Nursing Karch, Amy: 2009 Lippincott’s Karch, Amy: 2009 Lippincott’s Karch, Amy: 2009 Lippincott’s Nursing Karch, Amy: 2009 Lippincott’s Nursing
Lippincott’s Nursing Drug Lippincott’s Nursing Drug Guide, p. 406 Nursing Drug Guide, p. 406 Nursing Drug Guide, p. 406 Drug Guide, p. 407 Drug Guide, p. 407
Guide, p. 406 Drug Guide, p. 406