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With dopamine, we do see some side effects which can include arrhythmias, anxiety, nausea, and headache. So let's take a look at a few nursing considerations for dopamine. You must monitor the hemodynamics closely, which would include blood pressure, heart rate, EKG, CVP, or central venous pressure, pulmonary artery occlusion pressure, or PAOP. And with this, make sure you know what the parameters are for the hemodynamic values that you are monitoring closely. So with dopamine, we are able to titrate the medication to get the desired blood pressure, but sometimes more potent vasoconstrictors are needed to achieve that desired blood pressure. Dopamine does interact with beta-blockers as beta-blockers can counteract to therapeutic effects of dopamine. So keep this in mind and make sure to teach your patient signs of a reaction which include wheezing, chest tightness, fever, and itching. Guys. I can remember when I was working in the ICU, a fellow nurse infused dopamine and dobutamine, which led to questioning an order that was given, which ended up really making the nurse feel embarrassed. I do not want that to happen to you. So remember there is a difference between these two medications. Guys, dopamine has an alpha effect while dobutamine has a beta effect. Check out our other lesson on dobutamine.
That's it for dopamine or Inotropin. Now go out and be your best self today. And as always happy nursing.
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