
Shock & vasoactive medications - EMCrit Project
Jun 17, 2024 · Milrinone will often drop the blood pressure, which may require up-titration or the addition of a vasopressor (usually norepinephrine). Make sure you have room to escalate norepinephrine …
Vasopressors: Types, Purpose and Side Effects - Cleveland Clinic
Jun 10, 2022 · A vasopressor is a drug that healthcare providers use to make blood vessels constrict or become narrow in people with low blood pressure. Often, these are people in shock who are unable …
Use of vasopressors and inotropes - UpToDate
Apr 9, 2025 · Vasopressors are a powerful class of drugs that induce vasoconstriction and thereby elevate mean arterial pressure (MAP). Vasopressors differ from inotropes, which increase cardiac …
Escalating oxygenation and pressor/inotrope requirements led to intubation Current medications (ICU day 3): Piperacillin-tazobactam, 4.5 g, intravenous, q8h Epinephrine, 0.25 mcg/kg/min …
Vasopressors II: Norepinephrine and epinephrine - Critical Concepts
Mar 4, 2017 · The best evidence for norepinephrine is in sepsis, particularly compared against dopamine, and the current guidelines (from the 2016 Surviving Sepsis campaign) do recommend …
Push-Dose Norepinephrine: A Safe Alternative? - JEMS
May 7, 2025 · Michael Berkenbush, MD, discusses push-dose vasopressors in EMS for urgent hemodynamic stabilization, highlighting norepinephrine as a preferred choice over epinephrine, with …
Prehospital vasopressor use: understanding pressors in emergency care
May 22, 2025 · Commonly used vasopressors include dopamine, epinephrine and norepinephrine. Understanding the differences among these agents, particularly norepinephrine vs. epinephrine, is …
Push-Dose Pressors in the Emergency Department - ACEP Now
Jun 29, 2025 · Phenylephrine is the prototypical push-dose pressor and is classically given by anesthesiologists after induction. A pure a 1 – agonist, phenylephrine gives you peripheral …
14. Initial Choice of Vasopressor In Hypotension
Vasopressors are less effective and can cause organ hypoperfusion if used before adequate fluid resuscitation. The exception is cardiogenic shock, in which fluids must be used cautiously. Large …
Dec 2, 2024 · NOREPINEPHRINE NOREPINEPHRINE 0.5 – 30 mcg/min (a.k.a. Levophed, ‘levo’, noradrenaline) Good general purpose pressor with combined vasoconstriction and inotropy Often …