inotropes

Inotropes are medications that cause:

• a. Increase Blood Pressure

• b. Increase or decrease heart contractility 

• c. Increase heart rate to more than 100

• d. Relief heart pain

One of the following is an example of negative inotrope: 

• Noradrenaline   

• Adrenaline 

• Amiodarone                          

• Dobutamine 

 If the patient is running on noradrenaline infusion, and you notice one of the following points; what actions you should immediately report to doctor:

• MAP of the patient is 68 mmHg

• b. Patient is on bisoprolol (Beta-blockers)

• c. Line of noradrenaline infusion is running with same line of dobutamine infusion

•  Noradrenaline infusion is running via the peripheral line

One of the following inotropes can decrease blood pressure (BP)

• Noradrenaline

• Dopamine

• Adrenaline

• Dobutamine

when preparing single strength Noradrenaline infusion based on SQUH protocol, the nurse should

• Dilute 10mg (10ml) in 40ml D5W

• Dilute 20mg (20ml) in 30ml D5W

• Dilute 200mg (5ml) in 45ml NS 0.9%

• Dilute 10mg (10ml) in 50ml D5W

when calculating the rate of a double strength of Noradrenaline infusion, you will use the following equation:

Your patient has Noradrenaline infusion ordered at 0.5 mcg/kg/min. the patient weighs 86 kg. The preparation of IV syringe has a single strength of Noradrenaline in it. What rate will you set for your IV?