dopamine drips and MAP

  1. 0
    When you have a patient and you are adjusting the dopamine drip based on MAP > 65 do you just guess how much to increase or decrease?

    Get the hottest topics every week!

    Subscribe to our free Nursing Insights newsletter.

  2. 8 Comments...

  3. 1
    start increasing by 1 mcg/kg/m. If the pressure doesn't respond then you could go up by 2.
    some people are so affected by dopamine, i've seen patients who had a map>65 with 6.3mcg/kg/m and when you dropped them to 6.0 their maps fell into the 40-50 range.
    very narrow therapeutic range for some patients.
    fiveofpeep likes this.
  4. 0
    Thank you! That makes sense to go slow but no where could I find a guideline
  5. 0
    Do you guys have Lexicomp access? They have good information in their drug guides. Typically the hospital will have a policy on "Adult Titration of Vasoactive Infusions" or something similar that will review all the vasoactive meds and how to titrate them according to hospital policy.
  6. 0
    Actually Im a senior nursing student and was inquiring for a clinical experience, but I will ask when I go the next time. Thank you
  7. 1
    also realize that with Dopamine, when you have a drip over 6mcg/kg/min, it will begin to increase the heartrate exponentially
    fiveofpeep likes this.
  8. 0
    This is off topic but what is the best way to utilize this website?
  9. 0
    there is a section for nursing students, and then you can also browse subjects of interest, like critical care, etc. Hope this helps?
  10. 0
    Yes all of you have been very helpful

Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

A Big Thank You To Our Sponsors