[meandragonbrett]

Originally Posted by TopherSRN

The whole levophed - leave em dead philosophy has fallen out of vogue(levo is now the first line pressor for sepsis) so I would hesitate to perpetuate that kind of thinking. Some ignorant people still spout that mantra anytime someone mentions levo..

Ain't this the truth! I for one get tired of hearing it.

Levo tends to be a first line the CV population at times because of it's lack of beta stimulation.

[nursejill155]

I have seen the patient have prescribed the nitro paste and it is placed on the part of the toes that are necrotic. It seemed to work! I couldn't believe it but it did!

[MommyandRN]

I have seen this happen with Levophed. Usually if the Levo has been at that high of a dose for that extended period of time, the patient is in such bad shape that they can not avoid it... the risk of losing their feet is worth it to have their heart keep beating. It's just one of those things.