Berkland D
AACN Clin Issues. 1995 Aug;6(3):443-51. doi: 10.1097/00044067-199508000-00009.
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.
每年充血性心力衰竭患者住院人数的增加给护理这一人群的护士带来了挑战。必须探索许多替代住院治疗的方法。在家中使用多巴酚丁胺输注是一项特殊挑战。本文总结了充血性心力衰竭的病理生理学、体征和症状。此外，还讨论了多巴酚丁胺的药理学、临床效果和副作用。针对家庭治疗患者的选择、剂量、给药和随访监测参数提出了建议。最后，讨论了治疗终点以及家庭多巴酚丁胺输注的经济效益。
