Inotropic support: isoprenaline

Isoprenaline can be used for bradycardia as an alternative chronotrope to adrenaline, but can exacerbate hypotension. Use:

isoprenaline 20 micrograms (child: 0.1 micrograms/kg) intravenously, every 2 to 3 minutes according to heart rate response beta-blocker poisoning

FOLLOWED BY

isoprenaline by intravenous infusion (see Isoprenaline intravenous infusion instructions for advice on preparation and administration).

For treatment of refractory hypotension and cardiac arrest, see here.