Vasopressor Comparison

α, β, dose, indication

Noradrenaline

  • α₁ >> β₁
  • 0.05–0.5 mcg/kg/min
  • 1st line septic shock

Adrenaline

  • α + β
  • 0.05–0.5 mcg/kg/min
  • Anaphylaxis, arrest, refractory shock

Vasopressin

  • V₁
  • 0.01–0.04 U/min
  • Adjunct septic shock, hepatorenal

Dopamine

  • Dose-dependent DA/β/α
  • 2–20 mcg/kg/min
  • Bradycardia, declining favour

Dobutamine

  • β₁
  • 2.5–20 mcg/kg/min
  • Cardiogenic shock — pure inotrope

Phenylephrine

  • Pure α₁
  • 0.5–5 mcg/kg/min
  • Hypotension without tachycardia
WardRound

WardRound

Clinical Decisions in Seconds