With widespread availability of ABG, Infusion pumps, Advanced monitoring, Intensive care units etc The usage of vasopressors should be directed to: Target mean arterial pressure. MAP, ABG analysis etc. Adequperfusion, according to the requirements of body. Tailored to the requirements of Patient's body . Instead of remembering cumbersome doses and infusion rates per body weight, Instead of blindly following charts prepared by somebody else: Dilution can be fixed ie 1 ampoule Dopamine in 50cc or 1 amp Noradrenaline in 50cc.
Infusion rate titrated to MAP, ABG analysis, Urine output (when diuretic is not used) etc. Target minimum MAP, ABG etc shud be decided according to patients requirements , clinical condition. Max dose of vasopressor that can be given, should be remembered. Add another vasopressor when the one being used, reached maximum dose. With continuous…
