A patient receiving dobutamine (Dobutrex) at 180 mcg/minute is having all of the following physiologic responses. Which response indicates that the drip rate may be too high?
a. Systolic blood pressure increase from 106 to 122 mm Hg
b. Hourly urine output of 100 mL
c. Facial flushing
d. Chest pain
D
Dobutamine is a positive inotropic drug. Side effects include improved urine output and in-creased blood pressure. Facial flushing is common but not serious. Chest pain indicates the heart is working too hard, which may be related to the dosage level. The nurse should slow the drip rate and immediately notify the prescriber.
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