Common Vasopressors and Inotropes
Norepinephrine (NE)
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Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock (mild ↑CO)
 - Side effects: Arrythmias, Peripheral ischemia
Vasopressin
 - Indication: Distributive shock, Shock where ↑ HR is not desired (e.g., cardiogenic shock in patients with HCM)
 - Side effects: Peripheral ischemia, Splanchnic vasoconstriction
Epinephrine
 - Indication: Anaphylactic shock (1st line), Refractory shock (distributive, septic), Bradyarrhythmias
 - Side effects: Arrhythmias, Peripheral ischemia
Phenylephrine
 - Indication: Distributive shock (esp., vagally-mediated or med-induced), Shock where ↑ HR is not desired (e.g., cardiogenic shock in patients with HCM)
 - Side effects: Reflex bradycardia
Dobutamine
 - Indication: Cardiogenic shock, Bradyarrhythmias, Some cases of septic shock
 - Side effects: Tachyarrhythmias, Cardiac ischemia
Isoproterenol
 - Indication: Bradyarrhythmias
 - Side effects: Tachyarrhythmias, Cardiac ischemia
Dopamine
 - Indication: Can be used in all types of shock, Bradyarrhythmias
 - Side effects: Tachyarrhythmias, Cardiac ischemia

#Vasopressors #Inotropes #comparison #table #pharmacology #criticalcare
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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