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2.7 Sympathomimetics

2.7 Sympathomimetics

2.7 Sympathomimetics

2.7.1 Inotropic sympathomimetics

Dobutamine and dopamine increase contractility of the heart with little effect on the rate, isoprenaline increases both
             the heart rate and contractility. Hospital use only.
             RED           Dobutamine
                                injection 250mg/20mL
             RED           Dopamine
                                injection 40mg/mL, 160mg/mL
                                intravenous infusion 400mg in 250mL glucose 5% 
             RED            Isoprenaline
                                injection 100mcg/mL, 2mg/mL (unlicensed) 
 
2.7.2 Vasoconstrictor sympathomimetics
 
           Increase blood pressure by constricting peripheral vessels. Used in emergency when other methods have failed.  
           Hospital only.
            RED            Noradrenaline acid tartrate (dilute before administration)
                                sterile solution 8mg/4mL
                                sterile solution 40mg/20mL
                               (noradrenaline acid tartrate 2mg = noradrenaline base 1mg)
            AMBER      Midodrinine (Bramox®) tablets 2.5mg (licensed product for postural hypotension)
 
2.7.3 Cardiopulmonary resuscitation
 
            10mL of 1 in 10,000 adrenaline is given by central intravenous injection in cardiac arrest.
            GREEN      Adrenaline injection 1 in 10,000
 
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