I am a student nurse and I have a question about dobutamine. I had a patient today who was on dobutamine 10mcg/kg/min. Now the MAR said "titrate". I didn't really think about it until I got home. I know what dobutamine is for. inotrope, increases conduction in Av node, increases contractility, stroke volume..... anyways, this patient was only on a cardiac MONITOR, he had a picc line, but it was not hooked up to a transducer to get CVP readings.
So, my question is.....how are you supposed to titrate dobutamine in this situation? I mean, w/ a pt only on a heart monitor. Other than maybe assessing rhythm, HR, BP, Urine output??? Cause the action is an inotropic affect that increases stroke volume (from what I understand) and if you don't have a way to measure that (like CVP's), how can it be titrated?