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Dopamine not effective for treatment of hypotension in chlorpromazine overdose: first case report.

Abstract
Dopamine is a popular and effective vasopressor agent. However, in the event of overdose with a potent alpha 1-receptor blocker, dopamine may not be effective in treatment of hypotension. A vasopressor that stimulates only alpha-receptors, such as norepinephrine or phenylephrine, may be more appropriate. In our case, dopamine was clearly ineffective, whereas norepinephrine worked well. Our case also demonstrates the importance of carefully monitoring the effectiveness of any vasopressor therapy.
AuthorsJ A Addy
JournalJournal of emergency nursing (J Emerg Nurs) Vol. 21 Issue 2 Pg. 99-101 (Apr 1995) ISSN: 0099-1767 [Print] United States
PMID7776623 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Chlorpromazine
  • Dopamine
Topics
  • Chlorpromazine (poisoning)
  • Dopamine (therapeutic use)
  • Female
  • Humans
  • Hypotension (chemically induced, drug therapy)
  • Middle Aged
  • Treatment Failure

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