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14.04 Dobutamine (Dobutrex)

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Generic Name

Dobutamine

Trade Name

Dobutrex

Indication

Short term management of heart failure

Action

Dobutamine has a positive inotropic effect (increases cardiac output) with very
little effect on heart rate. Stimulates Beta1 receptors in the heart.

Therapeutic Class

Inotropic

Pharmacologic Class

Beta-adrenergic agonist

Nursing Considerations

• Monitor hemodynamics: hypertension, ↑HR, PVCs
• Skin reactions may occur with hypersensitivity
• Beta blockers may negate therapeutic effects of dobutamine
• Monitor cardiac output
• Monitor peripheral pulses before, during, and after therapy
• DO NOT confuse dobutamine with dopamine

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