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28.03 Norepinephrine (Levophed)

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Generic Name

norepinephrine

Trade Name

Levophed

Indication

treatment of severe hypotension and shock

Action

increase blood pressure and cardiac output by stimulating alpha-adrenergic receptors in the blood vessels, demonstrates minor beta activity

Therapeutic Class

vasopressor

Nursing Considerations

  • monitor BP continuously if possible or every couple of minutes
  • double check all concentrations with additional nurse
  • may result in rebound hypotension due to tissue ischemia when discontinued
  • monitor EKG and CVP
  • if patient is awake instruct them to report headaches, dizziness, or chest pain
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