Sep 23, 201015 yr 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?
Sep 23, 201015 yr 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.
Sep 23, 201015 yr Author Thank you! That makes sense to go slow but no where could I find a guideline
Sep 23, 201015 yr 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.
Sep 24, 201015 yr Author 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
Sep 25, 201015 yr also realize that with Dopamine, when you have a drip over 6mcg/kg/min, it will begin to increase the heartrate exponentially
Sep 25, 201015 yr there is a section for nursing students, and then you can also browse subjects of interest, like critical care, etc. Hope this helps?
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?