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mommaV1755
Dopamine in the home setting

Hello everyone...need some input.

We just received a referral for a patient needing Dopamine in the home.  We have done Dobutamine and Milrinone before and have guidelines for Dopamine up to 5mcg/kg/min.  Just got a call from the referral source stating that the pt's dose has been doubled to 10mcg/kg/min. (He cannot tolerate Dobutamine or Milrinone).  The hospital wants to discharge him tomorrow...we just got the referral a few hours ago.   

Has any home care agency or infusion pharmacy infused Dopamine at this dose?  Safety is our first priority...and of course Medicare does not cover any dose above 5 (patient does hava a full secondary). 

Any input/thoughts would be greatly appreciated.  I do not want to rush into this...

Thanks!

 Marianne Valentine, RN, BSN, CRNI

PharmaCare Infusion Services