In order of preference for treating SHOCK, also in order of stack unless in parentheses
1. Norepinephrine if SBP < 70, alpha1 with very little beta1 activity. 0.013 ug/kilogram/min, or neo synephrine if you need to infuse via IV instead of central line.
2. Epinephrine alternative or stack, less active, 50 ug/kg/min
3. Vasopressin for combination w Norepi to decrease side effects. Not wt dependent.
(4.) Dopamine, but not recommended for first line. d/t greater beta1 activity, for renal perfusion. 20 ug/kg/min.
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