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Feb 23, 2015

Dobutamine

Generic Name

dobutamine

Trade Name

Dobutrex

Indication

short term management of heart failure

Action

Dobutamine has a positive inotropic effect (increases cardiac output) with very little effect on heart rate.  Stimulates Beta1 receptors in the heart.

Therapeutic Class

inotropic

Pharmacologic Class

beta-adrenergic agonist

Nursing Considerations

  • Monitor hemodynamics: hypertension, ↑HR, PVCs
  • Skin reactions may occur with hypersensitivity
  • Beta blockers may negate therapeutic effects of dobutamine
  • Monitor cardiac output
  • Monitor peripheral pulses before, during, and after therapy
  • DO NOT confuse dobutamine with dopamine