Dr.Vivek on Instagram: "Inotropes are used to support perfusion in shock — not to replace the actual treatment. So selection depends on the type of shock and hemodynamics. 1) Norepinephrine (Noradrenaline) Start when: Septic shock with low MAP < 65 after giving adequate fluids. • Preparation: 4 mg Norad in 50 mL NS → 80 mcg/mL • Dose: 0.05–0.1 mcg/kg/min, titrate to MAP ≥ 65 • Effect: Restores vascular tone. • Note: First-line in septic shock. Can start peripherally while securing central access

Dr. Udaykumar Mahajan | Medical Educator on Instagram: "🥇 1. NOREPINEPHRINE – First-line in most shocks Mechanism: α1 ↑ (vasoconstriction) + mild β1 Best for: • Septic shock ⭐ • Vasodilatory shock • Post-operative hypotension Why preferred? ✔ Strong BP rise ✔ Less tachycardia ✔ Improves organ perfusion Starting dose: 👉 0.05–0.1 µg/kg/min ⸻ 🥈 2. EPINEPHRINE – When more power is needed Mechanism: α + β (vasopressor + inotrope) Best for: • Anaphylactic shock ⭐ • Refractory septic shock • Cardiac

Cardiac Glycosides: Inotropic, Chronotropic, Dromotropic Drugs