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Discussion

dopamine drips and MAP

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?

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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.

  • Author

Thank you! That makes sense to go slow but no where could I find a guideline

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.

  • 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

also realize that with Dopamine, when you have a drip over 6mcg/kg/min, it will begin to increase the heartrate exponentially

  • Author

This is off topic but what is the best way to utilize this website?

there is a section for nursing students, and then you can also browse subjects of interest, like critical care, etc. Hope this helps?

  • Author

Yes all of you have been very helpful :)

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