Hello! New grad again.
Over the weekend I was assigned a patient that was in complete HF. The patient was only on Dobutamine at 2.5 mcg. When the doc tried to wean him off of it he went into A-Fib/ A-Flutter. The doc explained that if a patient is on Dobutamine for too long he could go into a junction all rate and they'd have to go with another inotrope.
Is it preference to decide which Dobutamine or Dopamine to use? Or why not Milrinone?