Pressors and Inotropes Norepinephrine • alpha1 > beta 1 • Increase SVR > Inotropy Vasopressin • V1 • Increase SVR Phenylephrine • alpha 1 • Increase SVR Epinephrine • beta 1 and 2, alpha 1 • Inotropy > Increase SVR Dobutamine • beta 1 and 2 • Inotropy, Decrease SVR Milrinone • PDE inhibitor • Inotropy, Decrease SVR Dr. Matt Tsai @thematttsai #Pressors #Inotropes #criticalcare #pharmacology #comparison #shock #management