Table 2.
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 |