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. 2019 Mar 21;5(3):271–296. doi: 10.1002/vms3.164

Table 2.

Vasoactive drug options for use in AKI

Vasoactive Drug Drug Example Dose Comments Adverse effects
Osmotic Diuretics Mannitol 0.25–0.5 gr kg−1, do not exceed 2 gr kg−1 Dose can be repeated if no increased UOP noted within 30–60 min of administration Volume overload, hyperosmolality
Thiazides Hydrochlorothiazide See comments Generally these drugs are not potent enough to cause a significant increase in UOP
Loop Diuretics Furosemide 1–2 mg kg−1 loading dose followed by infusion of 1 mg kg−1 h−1 for up to 6 h If UOP does not increase within 6 h discontinue, if UOP increases reduce to 0.1 mg kg−1 h−1 to maintain urination Dehydration, hypokalemia, metabolic alkalosis
Dopaminergic agonist Dopamine 2–5 mcg kg−1min−1 The effectiveness of this drug has not been proven in human or veterinary medicine Tachycardia, hypertension
DDopaminergic agonist Fenoldopam 0.8 mcg kg−1min−1 (dogs)
0.5 mcg kg−1 min−1 (cats)
Studies in dogs/cats with acute kidney injury did not result in improved outcome Hypotension