Dopamine - Critical Care Medications

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Dopamine - Critical Care Medications

Рет қаралды 77,785

Күн бұрын

In this lesson we take a look at another long standing medication in the world of critical care, Dopamine! www.icuadvantage.com
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0:00 Intro
0:59 What is Dopamine?
1:56 How it works
5:47 Side effects
6:46 Treatment for Bradycardia
7:36 Treatment for Shock
8:40 Wrap up
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Check out these other great lessons and series of lessons below!
✅ Hemodynamics: • Hemodynamic Principals
✅ Shock: • Shock
✅ ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
✅ ICU Drips: • ICU Drips
✅ ECMO: • ECMO
✅ CRRT: • CRRT Explained!
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❗️❗️PLEASE NOTE: ICU Advantage medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider. The information is present here to give you a starting place to further look in to the proper treatments and recommendations for the care of your patient.
#ICUAdvantage #Dopamine #Medication

Пікірлер: 94

@kristinamidolo7681 Жыл бұрын

As a new nurse to ICU with many years of alternative nursing experience, I find your video's extremely helpful in my learning journey

@thepalettewhispererasmr1227 3 ай бұрын

Nurse Eddie Watson is making me a very smart ED RN❤

@Noname-rp5fo 3 жыл бұрын

We have several new people starting on my unit and I have been recommending your videos to help things click during orientation! :-)

@ICUAdvantage 3 жыл бұрын

Yay! This is so awesome. Thank you so much Tasha!

@wildvoyages8522 Жыл бұрын

your explanation is fantastic. thank you!

@DanielMendoza-iv1in 14 күн бұрын

Just graduated in May and started on a stepdown unit. Our unit just started taking dopamine gtts, but no one is used to taking it and of course I got assigned a new admit on dopamine. Your video really helped explain the function of the medication and helped me care for my patient better!

@ICUAdvantage 10 күн бұрын

This is awesome Daniel! Glad it was a help for you and congrats on graduating and your new job!

@ceciliagomez2965 3 жыл бұрын

Beautifully simplified. Absolutely, love your videos. Allows me to truly understand my patients therapy.

@ICUAdvantage 3 жыл бұрын

This is so great to hear. I'm really happy knowing that these are helpful for you! I really appreciate the kind words and for taking the time to leave a comment.

@GaMedic911 3 жыл бұрын

Really enjoy your posts! I am a Paramedic with Grady and my wife is CCRN at Emory ICU and we enjoy watching and discussing your videos together. At Grady EMS We use Levo rather than Dopamine so looking forward to your videos contrasting these options. Thanks for posting.

@ICUAdvantage 3 жыл бұрын

Awesome man! I bet your arrangement makes for some interesting dinner conversations! lol Now, when you say you use levo rather than dopamine, in what context? I'm assuming for BP as a vasopressor?

@GaMedic911 3 жыл бұрын

ICU Advantage Yes 👍 would appreciate hearing your thoughts and experiences. kzfaq.info/get/bejne/mdRxjK1p2qfRgKc.html

@fraskhanjulhusin2347 Ай бұрын

thanks a lot, I am now ur new follower!

@jaykd89 2 жыл бұрын

Many thanks for this video👏

@s.h.2546 10 ай бұрын

Awesome. Thank you

@rafatbinadel7136 2 ай бұрын

Thanks for the great efforts ❤

@user-zt3cx7vi5m 3 жыл бұрын

As usual great explanation and great video thanks a lot 🌸🌸🌸

@ICUAdvantage 3 жыл бұрын

Thank you so much! I really appreciate that and happy you liked it.

@marjanmathilda1475 8 ай бұрын

Thank you !

@snapdragon6601 2 жыл бұрын

Good job.

@medicwebber3037 2 жыл бұрын

Great review! Thank you.

@ICUAdvantage 2 жыл бұрын

Glad it was helpful!

@gabrielarnozo7704 3 жыл бұрын

Great video! Thank you

@ICUAdvantage 3 жыл бұрын

Glad you liked it!

@Med-ig4xv 2 жыл бұрын

Best channel for medical knowledge

@ICUAdvantage 2 жыл бұрын

I appreciate that!

@harikrishnans8743 3 жыл бұрын

Great work sir...

@ICUAdvantage 3 жыл бұрын

Thank you so much!

@zazu1luv3 3 жыл бұрын

Was able to understand as a new icu nurse !!

@ICUAdvantage 3 жыл бұрын

Awesome! So happy to hear this!

@carrieminns9782 2 жыл бұрын

Thank you!!! I'm doing my critical care course and your videos are making everything come together.

@ICUAdvantage 2 жыл бұрын

Great to hear this Carrie! Thats my hope is to help it click!

@dr.mahbub 3 жыл бұрын

Very helpful. 😊

@ICUAdvantage 3 жыл бұрын

Glad it was helpful!

@112Tiff 3 жыл бұрын

I love your videos, could you please do one on Norepinephrine and phenylephrine !

@ICUAdvantage 3 жыл бұрын

Thank you so much! Glad you like them. And yes, I do have them on the todo list! :)

@boyunkim9409 3 жыл бұрын

thanks! very good

@ICUAdvantage 3 жыл бұрын

You are very welcome!

@hennpaner4862 3 жыл бұрын

I love your videos!!

@ICUAdvantage 3 жыл бұрын

So happy to hear this!

@mohamedkorak8536 3 жыл бұрын

An other great video 🔥🔥🔥

@ICUAdvantage 3 жыл бұрын

Wahoo!! Thank you!

@jmetalguitar 2 жыл бұрын

Thanks, that was Dope! hehe

@ICUAdvantage 2 жыл бұрын

Haha nice! Thank you!

@jonathanlopez9797 2 жыл бұрын

amazing content

@ICUAdvantage 2 жыл бұрын

Thank you so much!

@udaychadalavada. 3 жыл бұрын

Good keep it up 👍

@ICUAdvantage 3 жыл бұрын

Thanks 😊

@dramjadkhankpc9130 3 жыл бұрын

Great sir

@ICUAdvantage 3 жыл бұрын

Awesome!

@dmarcellus 2 жыл бұрын

Thanks Eddie

@ICUAdvantage 2 жыл бұрын

You're welcome Derek!

@patience8884 3 жыл бұрын

Great!

@ICUAdvantage 3 жыл бұрын

Thank you!

@hanyelbanna3673 3 жыл бұрын

Thanks

@ICUAdvantage 3 жыл бұрын

Welcome

@drsohailzahir2837 8 ай бұрын

❤❤❤

@lol.h7580 3 жыл бұрын

Go on 💪

@ICUAdvantage 3 жыл бұрын

Thank you!

@mohammedaafil3705 3 ай бұрын

❤

@MrGeelaa 3 жыл бұрын

Please explain abou doputami ...and what are the differences between dopamine and doputami

@ICUAdvantage 3 жыл бұрын

Great suggestion... perhaps stay tuned soon 😉

@drudru5992 3 жыл бұрын

Is Dopamine acting directly on the bete receptors or as a prodrug for norepinephrine and epinephrine.

@ICUAdvantage 3 жыл бұрын

Directly binds is my understanding.

@saraguinn448 3 жыл бұрын

I am a new ICU nurse and your videos have been helpful to help me understand medications that are new to me. I wanted to clarify your opinion on what my preceptor taught me. Recently, I had a patient that was in a third degree heart block that occurred on a step-down unit. Initially, the patient was given atropine with no impact and then she was placed on a dopamine gtt @ 10 mcg (she received a TVP that night). Two questions, I was told that atropine is not effective for third degree heart block. Second, do you think Dopamine IS effective for third degree heart block? The patient was in and out of the heart block until the TVP was placed; however, I wasn't convinced that the medications were the reason she converted. As I didn't hear heart block mentioned in your video, I was curious! Thanks!

@ICUAdvantage 3 жыл бұрын

Great question. Dopamine and Epi are indicated to start for CHB, but usually they won't be effective and pacing is almost always required. Sounds like your patient had a transient block of the final conduction pathway hence the going in and out.

@nbrown53 2 жыл бұрын

If no p wave i was told by a ER doc that atropine wouldn’t be effective

@carleycudmore6857 Жыл бұрын

Could you do a video lidocaine infusion?

@ICUAdvantage Жыл бұрын

On the todo list! 😊

@johntierney3285 3 жыл бұрын

I've read some studies (happy to find them if you'd like) that argue against the idea that Dopamine actually does have a 'renal dose,' and am curious what your thoughts are on that? It would make sense, physiologically, that it does, however there is talk amongst clinicians I've worked with in emergency/crit care who state that simply isn't the case and that mode of therapy is more old-school. Secondly, regarding its use for brady-dysrhythmias/hypotension: I've had medical directors in former EMS agencies with whom I've worked that have said its arrhythmogenic properties make it a terrible medication for use. Again, I can appreciate this as anecdotal, however at least in the pre-hospital field it's 'well-known' that Dopamine is rarely a drug we should reach for, if ever. I rarely see it in the cardiac ICU where I work currently, and when I do it is for the aforementioned renal-dose, but again I haven't noted a significant result when I've had patients on it for that reason. Would love your thoughts, and keep up the great work. your videos are awesome, thanks!

@ICUAdvantage 3 жыл бұрын

Yeah I've definitely seen the studies and the evidence seems pretty clear that renal dose is not of benefit and in fact can actually be detrimental. We do know it increases urine production. The question is, giving a dose that produces this without any added real benefit to perfusion, is that effective? The evidence seems to say no. That said, I've seen some very intelligent physicians who I trust, who still use it this way occasionally. As for its use in ICU, I do see it a bit for bradycardia, but short of throwing the kitchen sink and then some at people, I don't often see it used for shock. That said, it is a quick access in our code carts, so sometimes it is used out of convince in shock, but usually mixing up a levo, Neo, or epi drip doesn't take that long.

@persephone2706 2 жыл бұрын

I've seen it used in neonatal cases?

@ralsharp6013 Жыл бұрын

Thank you for explaining why an injection of metoclopramide has posibly given me dystonisa and tardive dyskinesia.. Can you guys please be extremely careful when administering dopamine drugs please?

@barbaracherrington375 3 жыл бұрын

Love, love your videos. Great information. I want to know why some critical care medications are not Great to be given via peripheral IV access. Thanks for your reply

@ICUAdvantage 3 жыл бұрын

Yay! So happy to hear this. So it often depends on the medication for some of the reasons, but pressors, which are the most common that this comes up with, are due to a few things. They are vesicants and irritants and are better served infusing in to a large vessel, aka central line. Also with those we run the risk of extravasation and potentially tissue necrosis if that happens. That said, if there is no other option, we absolutely will use peripheral IVs until we can get a central!

@icu_corey_rn_903 Жыл бұрын

Dopamine isn’t used often but it’s also not uncommon in my icu. We usually use it for heart block patients and symptomatic bradycardia but it usually gets D/Cd soon after they get TVP wires it and implanted pacer from the CCL

@ICUAdvantage Жыл бұрын

Agreed. TVP is the way to go for persistent symptomatic bradycardia but every now and again will see it left running if pt well responsive, as well as the occasion CTS use for renal dose 🙄

@rogervanbommel1086 3 жыл бұрын

Should you give dopamine to heart transplant patients?

@ICUAdvantage 3 жыл бұрын

I don't have a ton of experience with this in transplant population, but from a quick search around, it seems that it is used.

@chitralpeacefulvalley5767 2 жыл бұрын

Great video thank you so much sir but some confusion you didn't talk about dopamine action on dopaminergic reseptor renal perfusion and increase urine output and also prevent cell injury.

@malikasha 2 жыл бұрын

Why lower dose Is 40mcg,kg,min and higher dose is 10mcg,kg,min . Can someone explain it please?

@satyaprabhu6207 7 ай бұрын

😮😮😮😮😮😊

@saddhadassana7401 3 жыл бұрын

I'm protecting 90 year old alzimer+dementia patient.short time memory is too low.tell several times can force to 10m walk,eat ...sit or stay same position.talks well. But words (vocabulary)low.Is there any memory improving drug?--- you are doing good work to the world !

@LY43537 2 жыл бұрын

Could you do a video about rhythms that almost look like sick-sinus, and the appropriate use of atropine v. dopamine?

@ICUAdvantage 2 жыл бұрын

Let me stew on these ones

@LY43537 2 жыл бұрын

@@ICUAdvantage If it helps, a lot of times this has happened with our patients who are on sedatives--often precedex, but simultaneously on esmolol and several other IV medications. I'm sure hypoxia from Covid ARDS doesn't help either. At first it caught us off guard. We thought maybe there was some vagaling, but then it started happening without inline ETT suctioning. We used atropine, got hypertensive. Then in 30 minutes or so that rhythm would come back and then eventually one of us would get annoyed with that roller coaster and just start dopamine and cardene. Usually this would resolve after the patient switched sedation. But it was always a bit exciting when we first started sedating.