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Doctor insights on: What Are The Affects Of Nitroprusside Used In Conjunction With Dobutamine

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What are the affects of nitroprusside used in conjunction with dobutamine?

What are the affects of nitroprusside used in conjunction with dobutamine?

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 doesn't affect the blood vessels but higher doses it can also lower the tone of the ateries and makes it easier for the heart to pump. This tone is aka systemic vascular resistence. By lowering the svr the cariac out put will increase. Nipride (nitroprusside) has no beta stim effects only svr. ...Read more

Dr. Robert Andtbacka
283 Doctors shared insights

Nitroprusside (Definition)

Nitroprusside sodium is a blood pressure agent which is a ...Read more


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What is dobutamine used for in the body?

What is dobutamine used for in the body?

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. ...Read more

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What is nipride (nitroprusside) used for?

What is nipride (nitroprusside) used for?

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. ...Read more

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What is an alternative for nitroprusside?

What is an alternative for nitroprusside?

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. ...Read more

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What is dobutrex (dobutamine) prescribed for?

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. ...Read more

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What is an antidote for dobutamine?

Beta blockers: Dobutamine speed up the heart rate through the adrenergic system. Beta-blockers would negate this effect. ...Read more

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Can dobutamine be a vasoconstrictor?

Yes: Generally useful with dilation properties at usual, doses. ...Read more

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What are nursing responsibilities in giving dobutamine?

What are nursing responsibilities in giving dobutamine?

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. ...Read more

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What kind of therapy is dobutamine?

Pressor: Dobutamine is a pressor that can increase heart rate and contractility of the heart muscle. ...Read more

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What is nipride (nitroprusside) drip?

What is nipride (nitroprusside) drip?

Nitroprusside: Nipride is nitroprusside a vasodilator (means open up blood vessels) which is used to lower blood pressure. It is given intravenously (through the veins) and is usually used in severe hypertensive (high blood pressure) situations. It needs to be closely monitored as it can at times lower blood pressure too much. ...Read more

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Can you describe a dobutamine stress test?

Drug induced stress: If exercise on a treadmill is not an option (too much stress on the heart) due to a person’s medical condition, may use an intravenous medication called dobutamine. Dobutamine causes heart to beat faster and will mimic the effects of exercise on the heart. Stress tests usually can be nuclear with radiotracer or with echocardiography. ...Read more

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Is dobutamine safe to given in a nursing home setting?

Dobutamine: We usually would not administer Dobutamine in a nursing home setting. It needs to be closely monitored and this monitoring is usually not possible in a nursing home. Dobutamine is usually given for acute hemodynamic instablity and this is again not usually a nursing home treatment. ...Read more

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When do you use dobutamine when treating congestive cardiac failure?

When do you use dobutamine when treating congestive cardiac failure?

When usual efforts: Fail. Once diuretics and usual efforts fail, then pressure like Dobutamine are used. Typically this is done in ICU or ccu. ...Read more

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How can I prepare10 mm solution of sodium nitroprusside was prepared in distilled water.?

How can I prepare10 mm solution of sodium nitroprusside was prepared in distilled water.?

RU an RN?: If you're a nurse, the pharmacy will assist you. If you're not, you shouldn't be doing this at home! ...Read more

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Which is more accurate in detecting viability after mi, dobutamine tests or nuclear tests (rest)? Can results be erroneous that should be repeated?

Which is more accurate in detecting viability after mi, dobutamine tests or nuclear tests (rest)? Can results be erroneous that should be repeated?

Viability...: Depending on the institution, usually rest delayed thallium or FDG pet is performed to evaluate for myocardial viability.

Alternatively Dobutamine may be used. Low-dose Dobutamine infusion may result in potentiation of regional lv function in areas of hibernating myocardium. High-dose Dobutamine infusion will result in worsening regional abnormalities secondary to ischemia. ...Read more

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Why are dobutamine-induced stress echocardiogram used?

Better information: A stress echo allows you to view heart function under a stressor. The stress is an elevation in heart rate and produced by the dobutamine. It allows us to see if your blood flow in the coronary ateries can meet demand. Is like economics, supply vs demand. ...Read more

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What does dobutamine specifically stimulate?

Beta agonist: Stimulates increased heart rate & cardiac contractility. ...Read more

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What can be an alternative to nitroprusside?

What can be an alternative to nitroprusside?

Various: If you are talking ICU treatment for hypertension, IV nitroglycerin, IV hydralazine, IV ACE, sublingual clonidine, among others. In the cath lab, nitroprusside may be injected directly into the coronary artery for slow or no flow in the artery during an intervention. In that setting, adenosine or various calcium channel blockers are alternatives. ...Read more

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Is dobutamine life threatening?

Not really: But can cause arrhythmia due to beta agonist effects. ...Read more

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Is dopamine similar to dobutamine?

Yes and no: They are both catecholamines, a specific type of chemical class. In the body, there are different type of receptors in tissues which bind catechols with different effects. Dopamine and doubtamine have different affinities for different receptors and thus can have different effects. Kind of like different types of baking sugars...They are all sugars but are used for special purposes and functions. ...Read more

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Why is dobutamine given intravenously?

Why is dobutamine given intravenously?

No other form: Presently, there is no other form of Dobutamine on the market. Generally, when Dobutamine is used, one is seeking immediate action of the drug, if the drug was administered through just about any other route, it would take longer to act and the delay in action is not desirable. This of course excludes CHF patients on chronic Dobutamine pump, my first sentence is directed at them. ...Read more

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What is a duel isotope dobutamine test?

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. Dobutamine is a chemical that is used to increase your heart rate and simulate walking on the treadmill. ...Read more

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Help please! Is dobutamine a beta blocker?

No: Dobutamine is a beta agonist, the opposite of a beta blocker. ...Read more

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Can someone mix heparin and dobutamine hci?

Can someone mix heparin and dobutamine hci?

Heparin dobutamine: Not in the same bag for IV delivery. They can be given simultaneously iv. ...Read more

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When should someone use dopamine and dobutamine?

Never: Those are serious and dangerous medications and should only be administered in an intensive care setting by a qualified physican. ...Read more

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What is the difference between dopamine and dobutamine?

Natural/synthetic: Dopamine is a naturally occuring catecholamine with numerous physiologic functions including neural transmission and BP regulation. Dobutamine is a synthetic drug used for testing and cardiac stimuation. ...Read more

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What is the significance of the sodium nitroprusside test?

What is the significance of the sodium nitroprusside test?

To test Cystinuria: Cystinuria is an autosomal recessive disease, which means one needs two copies of the defective gene (one inherited from each parent who are asympto) are needed to be born w the disease. It causes cysteine crystals to form & kidney stones & causes kidney disease & Pain. Adding Nitroprusside to a baby's urine turns dark if cysteine is present in high concentration. If + cystinuria can be treated. ...Read more

Dr. Elazer Edelman
313 Doctors shared insights

Dobutamine (Definition)

Dobutamine is an inotrope which is a kind of heart ...Read more


Dr. Daniel Saurborn
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Dobutrex (Definition)

Dobutrex is an inotrope which is a kind of heart ...Read more