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when do you use dobutamine when treating congestive cardiac failure

A 40-year-old member asked:
Dr. Nassir Azimi
22 years experience in Interventional Cardiology
When usual efforts: Fail. Once diuretics and usual efforts fail, then pressure like Dobutamine are used. Typically this is done in ICU or ccu.
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A 59-year-old member asked:
Dr. Mark Stern
45 years experience in Cardiology
Low blood pressure: If the blood pressure is low in CHF , Dopamine is better at raising it.
A 56-year-old member asked:
Dr. Ira Friedlander
41 years experience in Cardiac Electrophysiology
Yes: But they should obviously run on different pumps so that they can each be titrated.
A 56-year-old member asked:
Dr. Ira Friedlander
41 years experience in Cardiac Electrophysiology
Cardiac stress Test: This is a form of cardiac stress testing where two different radioactive isotopes are used to visualize the heart muscle at rest and during stress. Do ... Read More
A 61-year-old member asked:
Dr. Bart Denys
38 years experience in Cardiology
Heparin dobutamine: Not in the same bag for IV delivery . They can be given simultaneously iv.
A 48-year-old member asked:
Dr. Ronen Elefant
12 years experience in Critical Care
Never: Those are serious and dangerous medications and should only be administered in an intensive care setting by a qualified physican.
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A 42-year-old member asked:
Dr. Mark Rasak
32 years experience in Cardiology
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 thr ... Read More
A 44-year-old member asked:
Dr. Mark Stern
45 years experience in Cardiology
IV Chemical Stress: An intravenous is started . A radioactive substance is given and a picture of the heart muscle at rest is taken. Then Dobutamine is dripped in to incr ... Read More
A 38-year-old member asked:
Dr. Mark Stern
45 years experience in Cardiology
No: No , the patient should be more closely monitored than the nursing home staffing usually allows.
A 50-year-old member asked:
Dr. Mark Rasak
32 years experience in Cardiology
Depends on dosing: Dobutamine is an agent that helps the weak heart pump better by stimulating beta receptors in the heart. At lower doses it doesnt affect the blood ve ... Read More
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