DRUG NAME CLASSIFICATION MECHANISM OF INDICATION CONTRAINDICATION SIDE EFFECTS NURSING RESPONSIBILITIES

ACTION

Generic Name: Therapeutic Dobutamine directly Indicated when Contraindicated in  Observe IV site closely
Dobutamine Class: stimulates beta-1 parenteral therapy patients with acute and avoid extravasation.
receptors of the is necessary for myocardial  Increased heart Dobutamine can cause
Beta- 1 agonist rate, blood
heart to increase inotropic support infarction, unstable inflammatory response
pressure, and
myocardial in the short-term angina, left main ventricular and tissue ischemia.
contractility and treatment of stem disease, severe ectopic activity  Monitor for adverse
Brand Name: Pharmacologic stroke volume, patients with hypertension,  Hypotension reactions.
Class: resulting in cardiac de- arrhythmias, acute  Reactions at  Continuous blood
Dobutrex sites of pressure monitoring.
increased cardiac compensation due myocarditis or
Inotropic agent intravenous
output. to depressed pericarditis,  Continuous
infusion cardiorespiratory
contractility hypokalemia and
Dosage: 15 mcg resulting either idiopathic monitoring.
 Document vital signs
from organic heart hypertrophic sub-
hourly and PRN
disease or from aortic stenosis.
cardiac surgical
procedures.
Route: IV (side
drip with 100cc
D5W)