Vasopressors
Alpha adrenergic agonist that can be given peripherally
phenylephrine (Neosynephrine)
Venous and coronary artery dilator that decreases preload, afterload, and oxygen consumption
Nitroglycerin
Phosphodiesterase inhibitor with inotropic and vasodilatory effects
Milrinone
Type of line all patients with vesicant medications should have
Central Line
Location of Beta 1 Receptors
Heart
First line vasopressor used to treat hypotension from sepsis
norepinephrine (Levophed)
Potent vasodilator that can cause cyanide toxicity
nitroprusside (Nipride)
Beta 1 and beta 2 adrenergic agonist that can cause hypotension and tachycardia
Dobutamine
Resource for iv drug compatibility
Lexicomp
High pressure vessels that carry oxygenated blood to rest of the body
Arteries
Synthetic anti diuretic hormone
Vasopressin
Calcium channel blocker that directly acts on arterioles
nicardipine (Cardene)
Can be used as an inotrope or vasopressor
Epinephrine
flowsheet to document vitals and medication titrations
Vitals Titration Flowsheet
Vessel length + vessel diameter + blood viscosity
Systemic Vascular Resistance
Medication that has alpha effects at higher doses
Dopamine
Calcium channel blocker that is a fatty emulsion and requires tubing change every 12 hours
clevidipine (Cleviprex)
Normal cardiac output
4-8 L/min
medications that can cause tissue necrosis and have low ph
Vesicants
Heart Rate x Stroke Volume
Cardiac Output
This medication can increase blood sugars and serum lactate
Epinephrine
Dosing for this vasodilator is weight based
nitroprusside (Nipride)
Based upon cardiac output, but indexed to reflect body size
Average pressure driving blood to the body tissues through one cardiac cycle
Mean Arterial Pressure (MAP)
Preload + Afterload + Contractility