Vasopressors and Inotropes - Comparison Table
Activity: Alpha-1, Beta-1, Dopamine, SVR, HR, CO, BP
Phenylephrine
Vasopressin
Norepinephrine
Epinephrine
Dopamine
Dobutamine
Isoproterenol
Milrinone
- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/
#Vasopressors #Inotropes #comparison #table #pharmacology #criticalcare
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
• Increases BP, SVR
• Risk of reflex bradycardia due to increased MAP
Norepinephrine (Levophed, alpha-1 / beta1, beta1 > beta2)
• Increases BP, SVR, CO
• Preferred first agent in shock
Epinephrine (beta1 > beta2 / alpha1)
• Increases HR, SVR, CO, BP
• Higher doses cause more alpha-effect
• 1st agent in anaphylaxis, 2nd line in septic shock
Vasopressin (V1, V2)
• Increases BP, SVR, not inotropic/chronotropic
• V1, vessel constriction
• V2 antidiuretic effect at kidney
Dopamine (D1 > beta1 > alpha1)
• Dose dependent receptor activation
• D1 (1-2 mcg/kg/min): renal artery dilation
• beta /mild alpha (5-10 mcg/kg/min): increases HR, contractility, CO
• a (>10 mcg/kg/min): vasoconstriction, SVR
Inotropes
Dobutamine (beta1 > beta2 > alpha1)
• Increases CO, less of a BP effect
Milrinone (PDE3)
• Phosphodiesterase inhibitor > increases cAMP/cGMP
• Causes vasodilation and increased contractility
- Rebecca Steinberg @RebeccaSteinb17
#Vasopressors #Inotropes #Pharmacology #Summary #management #medications
Vasopressors Table
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure, Pulmonary Vascular Resistance, Main Uses, Peripheral Safety
Inodilators:
- Dobutamine 2-20 mcg/kg/min
- Milrinone 0.375-0.75 mcg/kg/min
- Isoproterenol 2-10 mcg/min
Pure Vasopressors:
- Vasopressin 0.01-0.06 u/min
- Phenylephrine 40-180 mcg/min
Inopressors
- Norepinephrine 0-40 mcg/min
- Epinephrine 0-20 mcg/min
- Dopamine, low 1-4 mcg/kg/min
- Dopamine, medium 4-10 mcg/kg/min
- Dopamine, high 10-20 mcg/kg/min
Internet Book of Critical Care @iBookCC
#Vasopressors #Properties #Table #Pharmacology #Effect #Management #Comparison #Inotropes