Tactical Titration: Vasoactive IV Infusions in the Pediatric Realm

Activity Summary

This session provides an overview of the various intravenous infusions commonly used to support and enhance perfusion in the pediatric population. Physiology of adrenergic receptor function and core concepts of inotropy and lusitropy are reviewed. Medications covered in this discussion include the alpha and beta-adrenergic agonists, milrinone, vasopressin and several vasodilators (nitroprusside, nicardipine, fenoldopam). Special emphasis is placed on the expanded spectrum of effects elicited by vasoactive drugs when titrated to different rates or levels. The dilemma of how to thoughtfully choose the best combination of vasoactive agents for any given patient based on hemodynamic status and presentation is also explored. Case studies conclude this session to highlight the main points of proper medication selection and dosing.

Objectives

Define the concepts of chronotropy, inotropy and lusitropy as they relate to vasoactive medications.
Describe beta-1, beta-2 and alpha-1 adrenergic receptor effects and identify specific vasoactive medications exhibiting these effects.
Explain dose-related and agent-specific adverse effects of common vasopressor and inotrope infusions.

Continuing Education Disclosure Statement

Successful Completion

Learners must complete the entire activity and the associated evaluation to be awarded contact hours AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

Disclosures

Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity. Activities with pharmacology hours are to assist the APRN in fulfilling the pharmacotherapeutic education requirements for licensure and certification renewals.

Activities meet the standards for most states that require mandatory continuing education for license and/or certification renewal. AACN recommends consulting with your own state board of nursing or credentialing organization before submitting your certificate of completion.

Refund Policy

Continuing Education Activities are nonrefundable.