SCCM Resource Library-Drug Shortage Alert: Dobutamine

Pdf Summary

This Drug Shortage Alert provides information about the shortage of dobutamine, a medication commonly used in cardiology medicine for the treatment of acute decompensated heart failure, cardiogenic shock, and stress echocardiography. The document includes management strategies, pharmacotherapeutic considerations, and safety implications for dealing with the shortage.<br /><br />The document recommends considering alternative inotropes or vasopressors such as milrinone or epinephrine for various indications, including postoperative management, cardiogenic shock, and chronic heart failure. For dobutamine stress echocardiography, alternative diagnostic modalities such as adenosine nuclear stress test or stress cardiac magnetic resonance can be considered. Low-dose dobutamine is still recommended for evaluating low-flow aortic stenosis.<br /><br />The document also provides detailed dosing guidelines and characteristics of alternative vasoactive medications. Safety implications related to the use of dobutamine, including confusion with dopamine, the availability of different concentrations, and the need for clear communication and education, are also discussed.<br /><br />The impact of the dobutamine shortage on ICU care is highlighted, recommending careful resource allocation and centralizing dobutamine stock to the pharmacy department. Multidisciplinary teams should evaluate available alternatives and ensure increased stock of alternative medications. Staff education is essential to minimize risks to patients.<br /><br />Overall, this Drug Shortage Alert provides valuable information and recommendations for managing the dobutamine shortage in different clinical scenarios, emphasizing the need for careful consideration of alternative medications and close monitoring of patients.

Asset Subtitle

Pharmacology, Crisis Management, 2023, 0:02:00

Meta Tag

Content Type Article

Knowledge Area Pharmacology

Knowledge Area Crisis Management

Membership Level Nonmember

Membership Level Associate

Membership Level Professional

Membership Level Select

Tag Resource Allocation

Year 2023

Keywords

dobutamine shortage

cardiology medicine

acute decompensated heart failure

cardiogenic shock

stress echocardiography

alternative inotropes

vasopressors

dobutamine stress echocardiography

alternative vasoactive medications

ICU care

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