MEDizzy
MEDizzy
USMLE
Anesthetic Pharmacology
All of the following drugs increase cardiac output, except?
Explanation
ExplanationAll of these catecholamines cause stimulation of β1 receptors, thus increasing cardiac contractility, but norepinephrine also has a very strong effect on α1 receptors, thus increasing afterload to such a degree that cardiac output may actually decrease after administration of this drug. Cardiac output = Systemic blood pressure/Systemic vascular resistance According to this formula, systemic vascular resistance (SVR) is inversely related to cardiac output; thus, an increase in the SVR may decrease the cardiac output. Other drugs have more effect on cardiac contractility than on SVR, and thus, cardiac output increases with their administration.
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