Explain inotropes and vasopressors, Biology

Assignment Help:

Explain Inotropes and Vasopressors

Persisting hemodynamic instability after correction of hypovolemia would necessitate the use of vasoactive agents. Which drug or intervention to use would depend on the type of shock. The clinical effects of available drugs are summarized in table. In cardiogenic shock, characterised by low cardiac output and peripheral vasoconstriction, dobutamine is a good drug to use, as it has inotropic as well as vasodilator effect. Phosphodiesterase inhibitors like milrinone also act in a similar fashion. Pure vasodilators like glyceryl trinitrate and sodium nitroprusside may also help in reducing the peripheral vasoconstriction and thereby, the systemic vascular resistance. Intra-aortic balloon counterpulsation increases coronary blood flow and reduces left ventricular afterload, thus reversing myocardial ischemia and improving cardiac performance. It is useful in patients in whom myocardial revascularization can be accomplished either by surgery or angioplasty and in the postoperative cardiac surgical patient with low cardiac output state. It is less successful in acute myocardial infarction complicated by cardiogenic shock if there is no lesion that can be revscularized.

531_summary of clinical effect.png


Related Discussions:- Explain inotropes and vasopressors

What is a provirus, It is the DNA representing, the genome of virus that ha...

It is the DNA representing, the genome of virus that has been included into the DNA of the host.

How nutritional status influences the age, How nutritional status influence...

How nutritional status influences the age? The nutritional status influences the age-related rate of functional decline in many organ systems in the body. Nutrition is also an

What are the types of cell respiration, What are the types of cell respirat...

What are the types of cell respiration? There are two types of cell respiration: aerobic cell respiration, a reaction with participation of molecular oxygen (O2), and anaerobic

What is biogenetic law and define bilateral symmetry, What is Biogenetic La...

What is Biogenetic Law and define Bilateral symmetry? In brief, ontogeny recapitulates phylogeny. Or, developmental or embryological sequence of an animal repeats the evolution

Difference between other eukaryotic cells , Difference between other eukary...

Difference between other eukaryotic cells ? Cell Wall :  In addition to the presence of photosynthetic plastids, another significant difference between other eukaryotic cell

What are the major significant organic molecules for humans, Q. What are th...

Q. What are the major significant organic molecules for living beings? Ans. There are many types of organic molecules that are important for the living beings. Particularl

Define terms umbra and penumbra, Define the terms umbra and penumbra, and d...

Define the terms umbra and penumbra, and describe how they relate to solar eclipses.

Illustrate the structure and functions of aqueous humour, Illustrate the St...

Illustrate the Structure and functions of aqueous humour Aqueous humour is a clear fluid that fills the anterior and posterior chambers of the eye and permeates the vitreous. I

Define growth and development of infants and preschoolers, Define Growth an...

Define Growth and Development of Infants and Preschoolers? In this unit, we learnt about the various aspects related to the growth and development of infants and preschoolers.

CONNECTING LINKS, HOW SHOULD I PREPARE AN INVESTIGATORY REPORT ON CONNECTIN...

HOW SHOULD I PREPARE AN INVESTIGATORY REPORT ON CONNECTING LINKS AS AN EVIDENCE OF EVOLUTION

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd