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