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stephanie atkinson
Peripheral Domamine in neonates
Help.  I work in a NICU and had a nasty Dopamine extravasation last week.  I felt frustrated because when I attempted to open a conversation about changing the practice of routinely running Dopamine peripherally, I was told by our clinical educator that peripheral Dopamine is proven safe particularly in infants.  Can this possibly be true?
No it is not true. I am not

No it is not true. I am not aware of any neonatal literature, but here is an article about Dopamine:

1.    Dugger B. Peripheral dopamine infusions: Are they worth the risk of infiltration? Journal of Intravenous Nursing. 1997;20(2):95-99.

Infiltration and extravasation is the most frequent cause of lawsuits in infusion therapy. Lynn 

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

Nina Elledge
Maybe you should ask her to

Maybe you should ask her to show you her "proof".

The pH is 2.5-4.5 depending on the manufacturer......has nothing to do with age group and safety. You cannot change it's pH without adding base, which NOBODY is doing, probably because it's unstable or ineffective or something....

Nina Elledge, RN, MBA, CRNI

[email protected]

Nina Elledge, RN, MBA, CRNI

[email protected]

Gwen Irwin
I agree that the educator

I agree that the educator needs to support her stance that it is safe practice in neonates.  It is a vesicant and any evidence that refutes that in neonates should be easily supported (if it is true). 

Gwen Irwin

Austin, Texas

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