The increase in the number of congestive heart failure patient hospitalizations each year poses a challenge to the nurses caring for this population. Numerous alternatives to hospital care must be explored. The use of dobutamine infusions in the home is a particular challenge. In this article, the pathophysiology and signs and symptoms of congestive heart failure are summarized. In addition, the pharmacology, clinical effects, and side effects of dobutamine are addressed. Recommendations are suggested for selection of patients for home therapy, dosage, administration, and monitoring parameters for follow-up. Finally, therapeutic endpoints are discussed, as well as financial benefits of home dobutamine infusion
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Ischemic Heart Disease| August 01 1995
Creative Solutions: Home Dobutamine Infusions
Diana Berkland, RN, MS
From the Department of Critical Care Nursing, Sioux Valley Hospital, Sioux Falls, South Dakota.
Reprint requests to Diana Berkland, RN, MS, Critical Care Nursing, Sioux Valley Hospital, 1100 S. Euclid Ave., Sioux Falls, SD 57117-5039.
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AACN Adv Crit Care (1995) 6 (3): 443–451.
Diana Berkland; Creative Solutions: Home Dobutamine Infusions. AACN Adv Crit Care 1 August 1995; 6 (3): 443–451. doi:
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