Question

A 67 y/o male presents with severe respiratory distress and a systolic BP of 78/P. You have attempted fluid resuscitation; medical command has ordered a DOBUTamine drip at 5 mcg/kg/min.

[B] What does should you increase this drip by?

Answer 1

The dobutamine drip for the patient in question can be increased incrementally by 2.5 to 5 mcg/kg/min as needed, but the exact dosing changes should be guided by clinical assessment, hemodynamic monitoring, and doctor's orders.

Step-by-step explanation:

The question refers to the adjustment of a dobutamine drip in a 67-year-old male patient who is experiencing severe respiratory distress and hypotension, evidenced by a systolic blood pressure of 78 mmHg. Since specific dosing instructions to increase the drip are not provided in the scenario, general practice would be to titrate the dose based on the patient's response to the initial infusion and in accordance with medical protocols and orders from medical command.

Typically, the dose of dobutamine can be increased incrementally, often by 2.5 to 5 mcg/kg/min every few minutes as needed, to achieve desired hemodynamic goals such as improved blood pressure or cardiac output. However, the exact dosing adjustments should always be based on a combination of clinical assessment, hemodynamic monitoring, and doctor's orders. It is also critical to continuously monitor the patient for any signs of adverse reactions or over-responsiveness to the medication.