Vasopressors - Revision history

Danbot: Add MedicationDose entries (norepinephrine, epinephrine, vasopressin, dopamine, phenylephrine, dobutamine) with SMW annotations

2026-03-20T18:59:06Z

Add MedicationDose entries (norepinephrine, epinephrine, vasopressin, dopamine, phenylephrine, dobutamine) with SMW annotations

@@ Line 92: / Line 92: @@
 #*May cause systemic hypotension (but they should be on pressors at another site)
 #Consult plastic surgery
 ==See Also==

Rossdonaldson1: /* Push Dose Pressors, (AKA Bolus Dose Pressors) */

2025-07-30T17:57:19Z

Push Dose Pressors, (AKA Bolus Dose Pressors)

← Older revision		Revision as of 17:57, 30 July 2025
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	**Tx: Address underlying cause		**Tx: Address underlying cause

	==Push ~~Dose Pressors,~~ (~~AKA~~ Bolus Dose Pressors)==		==Push (Bolus) Dose Pressors==
	*Use for temporary BP or CO boost with no evidence for improved patient outcome		*Use for temporary BP or CO boost with no evidence for improved patient outcome
	**Post-intubation hypotension		**Post-intubation hypotension

Moomoodoctor: /* Push Dose Pressors, (AKA bolus Dose Pressors) */

2024-05-07T05:28:14Z

Push Dose Pressors, (AKA bolus Dose Pressors)

← Older revision		Revision as of 05:28, 7 May 2024
Line 37:		Line 37:
	**Tx: Address underlying cause		**Tx: Address underlying cause

	==Push Dose Pressors, (AKA ~~bolus~~ Dose Pressors)==		==Push Dose Pressors, (AKA Bolus Dose Pressors)==
	*Use for temporary BP or CO boost with no evidence for improved patient outcome		*Use for temporary BP or CO boost with no evidence for improved patient outcome
	**Post-intubation hypotension		**Post-intubation hypotension

Moomoodoctor: /* Push Dose Pressors, also known as bolus dose pressors */

2024-05-07T05:26:04Z

Push Dose Pressors, also known as bolus dose pressors

← Older revision		Revision as of 05:26, 7 May 2024
Line 37:		Line 37:
	**Tx: Address underlying cause		**Tx: Address underlying cause

	==Push Dose Pressors, ~~also known as~~ bolus ~~dose pressors~~==		==Push Dose Pressors, (AKA bolus Dose Pressors)==
	*Use for temporary BP or CO boost with no evidence for improved patient outcome		*Use for temporary BP or CO boost with no evidence for improved patient outcome
	**Post-intubation hypotension		**Post-intubation hypotension

Moomoodoctor: /* Push Dose Pressors */

2024-05-07T05:25:09Z

Push Dose Pressors

← Older revision		Revision as of 05:25, 7 May 2024
Line 37:		Line 37:
	**Tx: Address underlying cause		**Tx: Address underlying cause

	==Push Dose Pressors==		==Push Dose Pressors, also known as bolus dose pressors==
	*Use for temporary BP or CO boost with no evidence for improved patient outcome		*Use for temporary BP or CO boost with no evidence for improved patient outcome
	**Post-intubation hypotension		**Post-intubation hypotension

Moomoodoctor: /* Push Dose Pressors */

2024-05-04T11:25:10Z

Push Dose Pressors

← Older revision		Revision as of 11:25, 4 May 2024
Line 38:		Line 38:

	==Push Dose Pressors==		==Push Dose Pressors==
	*Use for temporary BP or CO boost with no evidence for improved outcome		*Use for temporary BP or CO boost with no evidence for improved patient outcome
	**Post-intubation hypotension		**Post-intubation hypotension
	**Propofol-induced hypotension		**Propofol-induced hypotension

Moomoodoctor: /* Push Dose Pressors */

2024-05-04T11:21:35Z

Push Dose Pressors

← Older revision		Revision as of 11:21, 4 May 2024
Line 38:		Line 38:

	==Push Dose Pressors==		==Push Dose Pressors==
	*Use for temporary BP or CO boost		*Use for temporary BP or CO boost with no evidence for improved outcome
	**Post-intubation hypotension		**Post-intubation hypotension
	**Propofol-induced hypotension		**Propofol-induced hypotension

Elcatracho: /* Push Dose Pressors */

2022-12-01T00:32:37Z

Push Dose Pressors

← Older revision		Revision as of 00:32, 1 December 2022
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	***Easier to convert well-perfused heart		***Easier to convert well-perfused heart
	*Retrospective review of push-dose phenylephrine showed improved early hemodynamic stability but increased ICU mortality<ref>Hawn JM, Bauer SR, Yerke J, et al. Effect of phenylephrine push prior to continuous infusion norepinephrine in patients with septic shock [published online ahead of print, 2020 Dec 11]. Chest. 2020;S0012-3692(20)35353-8. doi:10.1016/j.chest.2020.11.051</ref>		*Retrospective review of push-dose phenylephrine showed improved early hemodynamic stability but increased ICU mortality<ref>Hawn JM, Bauer SR, Yerke J, et al. Effect of phenylephrine push prior to continuous infusion norepinephrine in patients with septic shock [published online ahead of print, 2020 Dec 11]. Chest. 2020;S0012-3692(20)35353-8. doi:10.1016/j.chest.2020.11.051</ref>
			While [[epinephrine]] and [[phenylephrine]] are most commonly used, push dose [[vasopressin]] <ref>Nowadly CD, Catlin JR, Fontenette RW. Push-Dose Vasopressin for Hypotension in Septic Shock. J Emerg Med. 2020;58(2):313-316. doi:10.1016/j.jemermed.2019.12.026</ref> and [[norepinephrine]] <ref>Onwochei, Desire N. MBBS BSc (Hons), FRCA; Ngan Kee, Warwick D. MBChB, MD, FANZCA, FHKCA†; Fung, Lillia MD, FRCPC; Downey, Kristi MSc; Ye, Xiang Y. MSc‡; Carvalho, Jose C. A. MD, PhD, FANZCA, FRCPC*. Norepinephrine Intermittent Intravenous Boluses to Prevent Hypotension During Spinal Anesthesia for Cesarean Delivery: A Sequential Allocation Dose-Finding Study. Anesthesia & Analgesia: July 2017 - Volume 125 - Issue 1 - p 212-218
			doi: 10.1213/ANE.0000000000001846</ref> are reasonable alternatives

	===[[Epinephrine]]===		===[[Epinephrine]]===

Elcatracho: /* Causes of non-response to vasopressorsAnand Swaminathan, "Occult Causes of Non-Response to Vasopressors", REBEL EM blog, July 13, 2017. Available at: https://rebelem.com/occult-causes-of-non-response-to-vasopressors/. */

2022-12-01T00:24:49Z

Causes of non-response to vasopressorsAnand Swaminathan, "Occult Causes of Non-Response to Vasopressors", REBEL EM blog, July 13, 2017. Available at: https://rebelem.com/occult-causes-of-non-response-to-vasopressors/.

← Older revision		Revision as of 00:24, 1 December 2022
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	**Dx: Blood gas, BMP		**Dx: Blood gas, BMP
	**Tx: treat underlying cause, consider [[Sodium bicarbonate\|bicarbonate]] gtt		**Tx: treat underlying cause, consider [[Sodium bicarbonate\|bicarbonate]] gtt
			**''Note:'' Vasopressin (in contrast to catecholamine vasopressors) does not show decreased efficacy in setting of acidosis
	*[[Hypothyroidism]]		*[[Hypothyroidism]]
	**Dx: Clinical, TSH		**Dx: Clinical, TSH

Elcatracho: /* Causes of non-response to vasopressorsAnand Swaminathan, "Occult Causes of Non-Response to Vasopressors", REBEL EM blog, July 13, 2017. Available at: https://rebelem.com/occult-causes-of-non-response-to-vasopressors/. */

2022-01-04T10:28:40Z

← Older revision		Revision as of 10:28, 4 January 2022
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	*[[Acidosis]]		*[[Acidosis]]
	**Dx: Blood gas, BMP		**Dx: Blood gas, BMP
	**Tx: treat underlying cause, consider bicarbonate gtt		**Tx: treat underlying cause, consider [[Sodium bicarbonate\|bicarbonate]] gtt
	*[[Hypothyroidism]]		*[[Hypothyroidism]]
	**Dx: Clinical, TSH		**Dx: Clinical, TSH