Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first pressor in most situations • Vasopressin - Pitressin - "Vaso" - Generally the second pressor added in shock • Epinephrine - Adrenalin - "Epi" - ACLS (1st), Anaphylaxis (1st), Symptomatic bradycardia, Shock (often adjunctive) • Phenylephrine - Neosynephrine - "Neo" - More common in OR; in MICU, often used as adjunctive pressor in refractory shock or specific situations (arrhythmia in setting of shock, HOCM, etc.) • Dopamine - Intropin - "Dopa" - Symptomatic bradycardia, Refractory shock (adjunctive pressor; studies have shown incr mortality compared to Levo. so generally not used 1st tine anymore) • Angiotensin - "Ang II" - Sepsis/distributive (refractory) • Methylene Blue - Refractory shock/vasoplegia, Post-cardiopulm bypass, Methemoglobinemia • Dobutamine - Dobutrex - Cardiogenic shock • Milrinone - Primacor - Cardiogenic shock Dr. Meredith Greer @EmmGeezee #Vasopressors #Inotropes #management #criticalcare #summary #comparison #table #pharmacology #indications
