Question

Assignment A 77-year-old man is admitted to the intensive care unit (ICU) from the operating room. Earlier the same day, he had presented to the emergency department with abdominal pain. His medical history included treated hypertension and hypercholesterolemia, previous heavy alcohol intake, and mild cognitive impairment. In the emergency department, he was drowsy and confused when aroused and was peripherally cold with cyanosis. The systemic arterial blood pressure was 75/50 mm Hg, and the heart rate was 125 beats per minute. The abdomen was tense and distended. After the administration of 1 liter of intravenous crystalloid to restore the blood pressure it still low the Dr.ordered Dopamine infusion at 5 microgram/kg/min, you know that the ampoule of dopamine containing 200mg/5ml was added to 250ml N/S 0.9%, 1. At what rate (cc/hr) should the pump be set to give the correct dose if you know that the patient weight is 80 kg? (EXPLAIN step by step) 2. Mention the classification and indication for Dopamine use.

Answer 1

Rate of pump for correct dose - • As the patient weight is - bokg. A rate of infusion éé s mierogram fug) & kg) mis. to how change ug to mg (meligrow total amount of dopami for patiente + 80 ms - uvo ig. = uoo -= o. o.4 mg, is one minute. - so ou mg i given in one minut so in I houe to tot dose is ory x60 = 24 mg. e As we neciane dopamin 200 mg Isme. that is going to mix E 280 m2 og to us. so in 253 me ogns = 200 mg dopami - (250+5 m2 ) . as 200 mg topapir is 255 ml oigns .. ing dopamine. = 255 - 1.275 me. as we requierd to give sung dopamie so 24X 1.275 me = 30-6 me lhe so the rate of infusion is 30.6 ml IHR Joo Scanned with CamScanner

cathecolamine family pomnie i the member of of neurotransmitor of Brou Rapamine i a cardiotonic doung. INACAgon) " Dopamine is wed as cardiotonic agent. It . I coordiae output a Blood pressure in advanced cardiovascules life support dreing upr. 21 Popamine combined o other agent such as dobutamine also may be useful in managant of post resuscitat" Hypotension (3) The net hemodynema effect of dopamine make it particularly useful in the I treahnend of cardiogena shack. Mi Dopamine seems to improve mechanreal - officlency of heart in coronary artsy disease (6) Dopamine shows protective action againy hyperoxia induced injury. Dopamie administration can managed the Mypotension due to inadequie cardiac output (A) Dopamie is indicated for the correction of hemodynamic imbalance present in thock syndrome due to myocardial infarction, traume endotoxic septiemis, open heart surgery. renal fail we. (6) It is also use in the treatment of symptomana brady cardia untuspon sine to atropine or external paring. CamScanner