Sympathomimetic cardiotonic Dopamine

agents
Adverse/side effects
Dobutamine
● CNS: headache.
Adverse/side effects ● EENT: mydriasis (high
dose). Resp: dyspnea.
● CNS: headache. Resp: ● CV: arrhythmias,
shortness of breath. hypotension, angina,
● CV: hypertension, ECG change,
increased heart rate, palpitations,
premature ventricular vasoconstriction.
contractions, angina ● GI: nausea,
pectoris, arrhythmias, vomiting.Derm:
hypotension, piloerection.
palpitations. ● Local: irritation at IV
● GI: nausea, vomiting. site.
Local: phlebitis.
● Misc: hypersensitivity
reactions including skin
rash, fever,
bronchospasm or
eosinophilia, nonanginal
chest pain.
Epinephrine Isoproterenol

Adverse/side effects Adverse/side effects

● CNS: nervousness, ● CNS: nervousness,

restlessness, tremor, restlessness, tremor,
headache, insomnia. headache, insomnia.
● Resp: PARADOXICAL ● CV: ARRHYTHMIAS,
BRONCHOSPASM angina,
(EXCESSIVE USE OF hypertension,
INHALERS). tachycardia.
● CV:angina, arrhythmias, ● GI: nausea, vomiting,
hypertension, xerostomia.
Tachycardia. ● Endo:
● GI: nausea, vomiting. hyperglycemia.Misc:
● Endo: hyperglycemia. pink/red discoloration of
saliva.
Norepinephrine Cardiac glycosides cardiotonic
agents
Adverse/side effects
Digoxin
● CNS: anxiety,
dizziness, headache, Adverse/side effects
insomnia, restlessness,
● CNS: fatigue, headache,
tremor, weakness.
weakness.
Resp: dyspnea.
● EENT: blurred vision,
● CV: arrhythmias, yellow or green vision.
bradycardia, chest ● CV: ARRHYTHMIAS,
pain, hypertension. bradycardia, ECG
● GU: urine output, renal changes, AV block, SA
failure. block.
● Endo: hyperglycemia. ● GI:anorexia, nausea,
● F and E: metabolic vomiting, diarrhea.
acidosis. ● Hemat:thrombocytopeni
● Local:phlebitis at IV a
site. ● Metab:electrolyte
● Misc: fever. imbalances
with acute digoxin
toxicity.
Phosphodiesterase inhibitors
cardiotonic agents

Milrinone

Adverse/side effects

● CNS: headache, tremor.

CV: VENTRICULAR
ARRHYTHMIAS, angina
pectoris, chest pain,
hypotension,
supraventricular
arrhythmias.
● CV: skin rash.
● GI:liver enzymes.
● F and E: hypokalemia.
● Hemat:thrombocytopeni
a.