Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock (mild ↑CO) - Side effects: Arrythmias, Peripheral ischemia Vasopressin - Indication: Distributive shock, Shock where ↑ HR is not desired (e.g., cardiogenic shock in patients with HCM) - Side effects: Peripheral ischemia, Splanchnic vasoconstriction Epinephrine - Indication: Anaphylactic shock (1st line), Refractory shock (distributive, septic), Bradyarrhythmias - Side effects: Arrhythmias, Peripheral ischemia Phenylephrine - Indication: Distributive shock (esp., vagally-mediated or med-induced), Shock where ↑ HR is not desired (e.g., cardiogenic shock in patients with HCM) - Side effects: Reflex bradycardia Dobutamine - Indication: Cardiogenic shock, Bradyarrhythmias, Some cases of septic shock - Side effects: Tachyarrhythmias, Cardiac ischemia Isoproterenol - Indication: Bradyarrhythmias - Side effects: Tachyarrhythmias, Cardiac ischemia Dopamine - Indication: Can be used in all types of shock, Bradyarrhythmias - Side effects: Tachyarrhythmias, Cardiac ischemia #Vasopressors #Inotropes #comparison #table #pharmacology #criticalcare
