For detailed information about dopamine hydrochloride, including clinical pharmacology, go to the New Zealand Medsafe Data Sheet. Information is also available on the NZFC.
Pediatric Injectable Drugs 9th ed. Dopamine Hydrochloride [New Zealand data sheet]. Available from: www. Date last published: 13 August This document is only valid for the day on which it is accessed.
Please read our disclaimer. Purpose of guideline Action of medication Indications Dose and prescription Administration Observation and documentation Special considerations Contraindications and precautions Possible adverse effects Drug interactions Presentation References Document Control. Purpose of guideline This guideline covers the use of a dopamine infusion in the ward setting. Action of medication Dopamine hydrochloride is a synthetic catecholamine which can stimulate alpha, beta and dopamine receptors via the sympathetic nervous system.
Indications To correct the haemodynamic imbalance due to acute hypotension, shock, cardiac failure. In chronic cardiac decompensation as in congestive heart failure4. Prescription To be charted on the Fluid balance chart with a cross-reference on the drug chart stating "dopamine as per fluid balance chart". Prescription on the Fluid balance chart must include: amount of drug to be added, in milligrams. Administration Give as infusion Compatible fluids for further dilution - sodium chloride 0.
Monitor for adverse reactions Discontinue dopamine gradually. May be titrated by a nurse in Adult Critical Care. Must be administered via central venous access device; in emergency situations dopamine may be temporarily infused through a peripheral vasuclar access device until a central venous line can be established.
Patient requires placement of an arterial line to monitor BP. Continuous infusions must be administered by infusion device and the pump library must be enabled. Should not be infused via the proximal injectate port blue of a pulmonary artery catheter.
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