A critically ill patient is oliguric but adequately volume resuscitated. A colleague proposes dopamine 1 microgram kg−1 min−1 solely to prevent acute

Question

A critically ill patient is oliguric but adequately volume resuscitated. A colleague proposes dopamine 1 microgram kg−1 min−1 solely to prevent acute kidney injury. Which response is best supported?

Accepted Answer

Avoid dopamine because renal benefit is unproven and harm possible

Answer

Use it because increased urine volume demonstrates renal recovery

Answer

Use the dopamine response instead of further haemodynamic assessment

Answer

Continue it until creatinine rises before increasing the rate

Answer

Combine it with a loop diuretic to limit arrhythmia

Dopamine Beta-1 Dose Range — FRCA Primary MCQ

A critically ill patient is oliguric but adequately volume resuscitated. A colleague proposes dopamine 1 microgram kg−1 min−1 solely to prevent acute kidney injury. Which response is best supported?