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Percorsi Assistenziali Neonatologici Anno 2008<br />

NOTA:<br />

Preparazione della fleboclisi con Dopamina e Dobutamina<br />

60 mg/kg in 100 ml di SG 5% (0,1 cc/h = 1 γ/kg/min)<br />

Dopamina<br />

Infusione continua per via venosa centrale.<br />

Compatibil<strong>it</strong>à con Acqua distillata, SF, SG, Dobutamina.<br />

Effetti Collaterali:<br />

Locali: necrosi (Antidoto: Fentolamina)<br />

Sistemici: ar<strong>it</strong>mie, tachicardia. ipertensione sistemica e polmonare, oliguria.<br />

Dobutamina<br />

Infusione continua per via venosa centrale.<br />

Compatibil<strong>it</strong>à con acqua distillata, SF, SG, Dopamina.<br />

∗<br />

Effetti Collaterali:<br />

Locali: necrosi<br />

Sistemici: ar<strong>it</strong>mie, tachicardia. ipertensione sistemica e polmonare.<br />

1. Laughon M, Bose C, Allred E, O'Shea TM, Van Marter LJ, Bednarek F, Lev<strong>it</strong>on A and for the ELGAN Study Investigators.<br />

Factors Associated W<strong>it</strong>h Treatment for Hypotension in Extremely Low Gestational Age Newborns During the First Postnatal<br />

Week. Pediatrics 2007;119:273-280.<br />

2. Subedhar NV. Treatment of hypotension in newborns. Sem Neonatol 2003;8:413-423.<br />

3. Dasgupta SJ, Gill AB. Hypotension in the very low birthweight infant: the old, the new, and the uncertain. Arch Dis Child Fetal<br />

Neonatal Ed 2003;88:F450–F454.<br />

4. Evans N. Which inotrope for which baby. Arch Dis Child Fetal Neonatal Ed 2006;91:F213–F220. doi: 10.1136/adc.2005.071829<br />

5. Ng PC, Lam CW, Lee CH, Ma KC, Fok TF, Chan IH, Wong E. Reference ranges and factors affecting the human corticotropinreleasing<br />

hormone test in preterm, very low birth weight infants. J Clin Endocrinol Metab. 2002 Oct;87(10):4621-8.<br />

77<br />

Cardio-Circolatori

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