What does dobutamine do to heart rate?

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asked Aug 29, 2023 in Other- Health by Gaperkins (12,590 points)
What does dobutamine do to heart rate?

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answered Sep 4, 2023 by Gloverdragon (23,920 points)
The drug dobutamine increases the heart rate and as a result increases the blood pressure.

Around 10 percent of adults have had heart rate increases of 30 beats a minute or more and 7.5 percent of people have had a 50-mm Hg or greater increase in their systolic blood pressure.

The drug dobutamine is a type of direct acting inotropic agent drug.

The drug dobutamine does increase oxygen as it's used to increase the whole body oxygen delivery in septic patients to satisfy the unmet demand of oxygen of hypoxic tissues.

Although the dobutamine infusion drug also increases the myocardial work and also the myocardial oxygen consumption.

Dobutamine does not lower your blood pressure but instead it increases your blood pressure and cardiac index.

The medication dobutamine affects blood pressure by increasing your blood pressure and cardiac index.

Dobutamine can in rare cases cause Vtach or Ventricular tachycardia although it only occurs rarely.

People who have underlying arrhythmias or heart failure or people who receive excess dosages of dobutamineare at the greatest risk for developing proarrhythmia.

The dobutamine medication helps the kidneys by improving the CO by reducing the afterload as well as through the inotropic action.

And the direct stimulation of beta-1 receptors increases urinary sodium excretion, either by a direct effect on the kidney or by altering systemic and renal haemodynamics.

The reason dobutamine causes hypotension is because of  a side effect of reflexive which decreases the systemic vascular resistance (SVR).

The medication dobutamine is fast acting and has a short half life and rapid onset of action.

Dobutamine is administered as a continuous intravenous infusion and is used within 24 hours.

The labs that you monitor on dobutamine are blood pressure and ECG which should be monitored continuously while dobutamine is administered.

The medication dobutamine is a high risk and high alert medication which bears a heightened risk of causing significant harm to the person when it's used in error.

The type of shock that dobutamine is used for is septic shock and also sometimes for cardiogenic shock and hypoperfusion.

Dobutamine is an emergency drug as it can be used as temporary intravenous inotropic support until resolution of the acute inducing factors or the patient receives more definitive treatment, such as coronary revascularization, mechanical circulatory support, or heart transplant.

Dobutamine does increase urine output and urine volume and sodium excretion.

Dobutamine increases your heart rate instead of decreasing it.

Dobutamine's ionotropic effect increases contractility, leading to decreased end-systolic volume and, therefore, increased stroke volume.

The increase in stroke volume leads to an augmentation of the cardiac output of the heart.

Dobutamine in the ICU is used for decreased contractility due to heart failure or cardiac surgical procedures leading to cardiac decompensation.

Dobutamine-norepinephrine, but not vasopressin, restores the ventriculoarterial matching in experimental cardiogenic shock.

Dobutamine is given for heart failure or cardiac surgical procedures that lead to cardiac decompensation.

Low dose dopamine induces hypoxemia in patients with heart failure by impairing both gas exchange and ventilatory responses and thus could precipitate respiratory decompensation in people being weaned from ventilators.

Dobutamine is a type of medication that is used in the ICU to manage low blood pressure.

While the dobutamine drug is safe, it's use requires close monitoring as it has the potential to raise blood pressure and cause arrhythmia.

Dobutamine stimulates the heart muscle and improves blood flow by helping the heart pump better.

Dobutamine is used short-term to treat cardiac decompensation due to weakened heart muscle.

Dobutamine generally decreases cardiac filling pressures and pulmonary vascular resistance.

Dobutamine has a variable effect on heart rate, but can significantly increase heart rate (particularly at the higher concentrations used in stress echocardiography).

Dobutamine Injection is a catecholamine indicated when parenteral therapy is necessary for inotropic support in the short-term treatment of adults with cardiac decompensation due to depressed contractility resulting either from organic heart disease or from cardiac surgical procedures.

In responders, dobutamine behaved as an inotrope, increasing blood pressure and cardiac index.

In non-responders, dobutamine mainly acted as a vasodilator, since blood pressure decreased, and cardiac index marginally increased.

During dobutamine infusion, the SBP response was 'flat' (<10 mmHg increase or decrease compared with baseline) in 1118 patients (38%).

The SBP increased by 10 mmHg or more in 1064 patients (36%), and decreased by 10 mmHg or more in 786 patients (26%).

The plasma half-life of dobutamine in humans is 2 minutes.

The principal routes of metabolism are methylation of the catechol and conjugation.

In human urine, the major excretion products are the conjugates of dobutamine and 3-O-methyl dobutamine.

Dobutamine is also used for short-term treatment of congestive heart failure and for low cardiac output after cardiopulmonary bypass.

In people with chronic low output cardiac failure, dobutamine was superior to dopamine in its ability to increase cardiac output without untoward side effects.

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