Medication 7-274 - Dopamine (Intropin)

CMH EMS & MIH Protocols

Scope of Practice:

• Registered Nurse
• Paramedic
• Community Paramedic

Route(s):

• IO, IV,

Pharmacodynamics (class and mechanism of action):

• Sympathomimetic (Stimulates alpha and beta adrenergic receptors. Increases cardiac contractility. Causes peripheral vasoconstriction.).

Pharmacokinetics:

• Half-life: 2 minutes.
• Onset time: 5 minutes.
• Peak action time: Unknown.
• Duration of action: Less than 10 minutes.

• Peak	1	2	3	4	5	6	7	8	9	10	11	minutes
  Duration	1	2	3	4	5	6	7	8	9	10	11	minutes

Dosing:

• Refer to specific protocol(s) below for dose(s).

Indications:

• Protocol 2-154 - Bradycardia.
• Protocol 2-704 - Post Resuscitation.
• Protocol 2-726 - Pulmonary Edema.
• Protocol 2-748 - Pulseless Electrical Activity.

Contraindications:

• Hypovolemic shock where complete fluid resuscitation has not occurred.
• Severe tachyarrhythmias such as Ventricular Fibrillation or Ventricular Arrhythmias.

Pregnancy Risk Factor:

• Category C
• Risk not ruled out: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks. FDA requires a relatively large amount of high-quality data on a pharmaceutical for it to be defined as Pregnancy Category A. As a result of this, many drugs that would be considered Pregnancy Category A in other countries are allocated to Category C by the FDA.

Potential Incompatibilities:

• NA.

Precautions and Adverse Effects:

• May cause Ventricular irritability, Ventricular Tachyarrhythmias, Hypertension, Angina, Dyspnea, Nausea, Vomiting, and/or headache.

Antidote:

• Rigitine.

Controlled Substance Information:

• Not a scheduled drug
• The DEA and FDA have not identified this drug with a schedule classification.
• DEA number: NA.
• Narcotic: No.
• Street names: NA.

CMH Pre-Hospital Services Mission: "Provide safe, exceptional, and compassionate care to our communities with an emphasis on highly trained and empowered staff."

CMH Mobile Integrated Healthcare Mission: "Provide exceptional, compassionate, and patient-centered care by a mobile collaborative team to improve patient experience, improve quality outcomes, and reduce healthcare costs."

Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.