Dobutamine

Emergency Drugs

Emergency Drugs · β₁ agonist (mild β₂)

Dobutamine

Dose

2.5–20 mcg/kg/min IV

Mechanism

Selective β₁ → inotropy + chronotropy

Dilution & preparation

250 mg in 250 mL D5W (1 mg/mL)

Use

Cardiogenic shock, decompensated HF with low CO.

Monitoring

ECG, BP, CVP, CO if available.

Side effects

  • Tachycardia
  • Arrhythmias
  • Headache
  • Hypokalaemia

Always confirm dose against your local formulary / BNF before prescribing.

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