Norepi Flashcards

1
Q

Trade name

A

Levophed

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2
Q

Class

A

Sympathomimetic

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3
Q

Standard supply

A

Premix bag for infusion

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4
Q

Mechanism of action

A

-alpha adrenergic response: Vasoconstriction
-Beta1 adrenergic responses: increases HR & Myocardial contractility

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5
Q

Indications

A

Severe hypotension refractory to IV boluses caused by: Cardiogenic shock, Septic shock, Neurogenic shock

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6
Q

Contraindication

A

Hypotension caused by hypovolemia

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7
Q

Side effects

A

-Anxiety
-Chest Pain
-Dizziness
-Dysrhythmias
-Dyspnea
-Extravasation of the IV/IO may cause necrosis
-Headache
-Hypertension
-Increased myocardial oxygen demand
-Nausea/Vomiting
-Nervousness
-Palpitations
-Tachycardia
-Tremors

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8
Q

Route

A

Infusion

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9
Q

Onset

A

Immediate

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10
Q

Adult dosages

A

Infusion: 0.1 to 2.0 mcg/kg/min, titrated to effect

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11
Q

PEDS Dosages

A

Infusion: 0.05 to 0.1 mcg/kg/min, titrated to effect

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