ISOPROTERENOL (ISUPRELL)

 

Class: Sympathetic agonist

 

Mechanism of Action: Increases heart rate in bradicardia that is refectory to atropine, synthetic catecholamine acts almost exclusively on beta receptors.

 

Indications: Bradicardia resulting from high degree heart block, and status asthmatics

 

Contraindications: Not used to increase blood pressure, should only be used in shock resulting from bradicardia.

 

Precautions: Monitor for PVC's, V-tach, V-fib, may cause myocardial ischemia in patients with MI

 

Side Effects: Nervousness, tachycardia, palpitations, pulmonary edema, angina, hypotension, hypertension, ventricular arrhythmias

 

Dosage: 2-20 mcg/min IV infusion only, 1mg diluted in 500ml of D5W