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Doctor insights on: When Do You Use Dobutamine When Treating Congestive Cardiac Failure

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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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Dr. Cornelius O'leary jr
5 doctors shared insights

Cardiac (Definition)

Cardiac translates literally to "heart, " and any place the term is seen, such ...Read more


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When should we choose dopamine over dobutamine in treating congestive cardiac failure?

When should we choose dopamine over dobutamine in treating congestive cardiac failure?

Sometimes use both: Dopamine has more affect on blood pressure (raises it). Dobutamine increases heart (myocardial) contractility so it makes the heart muscle beat stronger and subsequently increases cardiac output. They are often used together for people with heart failure and low bp. ...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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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 kind of therapy is dobutamine?

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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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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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 doesnt 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

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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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What is the treatment available for dobutamine extravasation?

What is the treatment available for dobutamine extravasation?

Phentolamine: This causes vasconstriction so that phentolamine can be injected into the area to counteract the vasoconstriction. Otherwise, pain medicine and elevated the arm can be of help to relieve swelling and pain. ...Read more

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What is the care of a patient on dobutamine for chf?

What is the care of a patient on dobutamine for chf?

Low salt & fluid: Salt and fluid restriction is the mainstay to help a patient with CHF on Dobutamine drip whether outpatient or inpatient. In the hospitalized patient, close monitoring of blood pressure and rhythm are required. ...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 is "dobutamine, stress echocardiography criteria"?

A screening test: Stress tests are largely done to identify patients at risk for heart attacks. For patients who cannot exercise due to arthritis or other reasons, Dobutamine is a drug that will mimic exercise, and allow a stress test to be done. It is not as good as exercise, but it is a reasonable alternative if exercise is not possible. ...Read more

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What is some information about dobutamine bedford 338 mg?

Dobutamine: Dobutamine is a medicine used by physicians to increase blood pressure usually in a heart that does not pump well. It may be used when a patient is in heart failure or has had a heart attack and works by helping the heart to beat stronger and faster. It is given intravenously by an infusion and has a range of doses. Sometimes it is used as a stress test in patients who cannot exercise. ...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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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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Dr. Elazer Edelman
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