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Dr.BelleHeart —Cardiologist on Instagram: "What are inotropes? Inotropes are medications that we use to help the heart squeeze better when it is weak! Dobutamine Function: Strong ↑ contractility (β1), mild ↓ afterload (β2) → often increases cardiac output Use case: Low-output heart failure/cardiogenic shock with adequate BP (can drop BP) Watch-outs: Tachycardia, arrhythmias Milrinone Function: ↑ contractility + vasodilation (“inodilator”) → ↓ afterload, can drop BP Use case: HF with pulmonary HT
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In critical care, not every drug that increases blood pressure works the same way. Understanding the difference between inotropes and vasopressors is essential for nurses, medical students, and anyone working in the ICU. 🔹 Inotropes mainly increase the force of myocardial contraction, helping the heart pump blood more effectively. They are commonly used in conditions like cardiogenic shock, heart failure, and low cardiac output states. Examples include Dobutamine and Milrinone. 🔹 Vasopressors
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