Vasopressors and Inotropes

 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first pressor in most situations

 • Vasopressin - Pitressin - "Vaso" - Generally the second pressor added in shock

 • Epinephrine - Adrenalin - "Epi" - ACLS (1st), Anaphylaxis (1st), Symptomatic bradycardia, Shock (often adjunctive)

 • Phenylephrine - Neosynephrine - "Neo" - More common in OR; in MICU, often used as adjunctive pressor in refractory shock or specific situations (arrhythmia in setting of shock, HOCM, etc.)

 • Dopamine - Intropin - "Dopa" - Symptomatic bradycardia, Refractory shock (adjunctive pressor; studies have shown incr mortality compared to Levo. so generally not used 1st tine anymore)

 • Angiotensin - "Ang II" - Sepsis/distributive (refractory)

 • Methylene Blue - Refractory shock/vasoplegia, Post-cardiopulm bypass, Methemoglobinemia

 • Dobutamine - Dobutrex - Cardiogenic shock

 • Milrinone - Primacor - Cardiogenic shock



Dr. Meredith Greer @EmmGeezee



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