Question 1

what is dobutamine used for in the body?

Accepted Answer

See below: Dobutamine is used when there is a poor contraction of the heart muscle either associated or not with pulmonary hypertension and low blood pressure.  Dobutamine is used to increase cardiac output and muscle contractivity.

Question 2

what is nipride (nitroprusside) used for?

Accepted Answer

Nitroprusside/niprid: In the us, nipride (nitroprusside) is indicated for lowering blood pressure in cases of hypertensive crisis, for acute congestive heart failure, & for lowering blood pressure to decrease bleeding. In other countries it has additional indications for use.

Question 3

what can dobutamine be classified by?

Accepted Answer

Dopamine: Classified as an inotropic agent (increases contractile force of the heart).

Question 4

what is an alternative for nitroprusside?

Accepted Answer

Nitroprusside: We use nitroprusside in emergent conditions when we need to rapidly decrease peripheral vascular resistance. Although there are other options, for those acute emergent hemodynamic situations for which we need nitroprusside, there are no alternatives as controllable as nitroprusside.

Question 5

what is dobutrex (dobutamine) prescribed for?

Accepted Answer

Dobutamine: IV medication given primarily for congestive heart failure from heart muscle weakening.  This increases the ability of the heart to contract and increase blood flow throughout the body helping with heart failure symptoms.  Used with diuretic therapy (Lasix) to get extra fluid/water out of the body.  Used in hospital but can be used at home for chronic therapy for end-stage heart failure.

Question 6

which functional groups are there in dobutamine?

Accepted Answer

Beta and alpha: Dobutamine chemically has functional hydroxyl groups attached to benzene rings connected via an imine bridge. What is important functionally is its ability to stimulate beta receptors. Dobutamine stimulates beta 1 >>beat 2> Alpha 1. The causes the heart to work harder and increase cardiac output, at the expense of increasing the heart's oxygeb consumption. Dobutamine also causes vasodilation.

Question 7

what is an antidote for dobutamine?

Accepted Answer

Turn the drip off: Dobutamine is very short acting , so it gets out of the body in minutes if you turn off the inntravenous drip. It therefore doesn't need an antidote.

Question 8

can dobutamine be a vasoconstrictor?

Accepted Answer

No: It increases cardiac contractility and may cause vessels to dilate.

Question 9

what are nursing responsibilities in giving dobutamine?

Accepted Answer

Best to ask a nurse: Physician training and nurse training are very different. From a physician's perspective, i would want a nurse to monitor vital signs and cardiac telemetry. Nurses would obviously want to check on IV site, drug mixture, drug compatibility (if infusing more than one drug), etc.

Question 10

what kind of therapy is dobutamine?

Accepted Answer

Positive chronotrope: Dobutamine stimulates the beta receptors in the heart muscle . It makes it pump more efficiently and is often used in congestive heart failure pts thru an iv.

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What are the affects of nitroprusside used in conjunction with dobutamine

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What is dobutamine used for in the body?

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Which functional groups are there in dobutamine?

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What kind of therapy is dobutamine?

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