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Inotropes/Vasopressors Cheat Sheet: Presiding Principles
Inotropes/Vasopressors Cheat Sheet: Presiding Principles
Overview
Definitions
A. Inotropes medications that increase the hearts force of contraction
B. Vasopressors medications that increase blood pressure by constricting arteries
C. Vasoactive agents a term used to describe medications that alter vascular tone
(vasodilate, vasoconstrict)
Indications
A. Increase mean arterial pressure (MAP)
1. Brain needs MAP of 65-70 mm Hg
2. Kidneys need MAP of 60 mm Hg
B. Improve cardiac output
1. Increasing force of contraction (inotropy)
2. Increasing rate of contraction (chronotropy)
C. Perfuse shunted tissues
1. Increase blood flow to compromised tissue
2. Compensate for loss of function due to inadequate circulation
Presiding Principles
Vasopressors are toxic to tissues and should be used only when absolutely necessary.