>20 mcg/kg/minPredominantly Alpha: High ischemia risk, avoid if possible
⚠ Clinical Guidance: Norepinephrine is preferred over dopamine for septic shock (SOAP-II trial — dopamine associated with higher arrhythmia rates and 28-day mortality in cardiogenic shock subgroup). Dopamine may be considered in bradycardic shock. Continuous ECG monitoring required.
⚠ For educational/reference use only. Verify doses with clinical pharmacist and current institutional protocols.