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Intermediate Technical IVT

Levophed

Pronunciation: LEE-vo-fed

Brand name for norepinephrine, a potent vasopressor used in cardiac arrest and shock.

Full Definition

Levophed is the brand name for norepinephrine bitartrate, a powerful vasopressor and inotropic agent used in emergency cardiology for severe hypotension and cardiogenic shock. The medication works by stimulating alpha-adrenergic receptors to cause vasoconstriction and beta-1 receptors to increase cardiac contractility. Levophed is administered as a continuous intravenous infusion through a central line due to its potent vasoconstrictor effects. It is often used in post-cardiac arrest care and during advanced cardiac life support protocols when other vasopressors have proven insufficient.

Usage

Usage note: Capitalize as brand name; generic 'norepinephrine' is lowercase.

In Context

  • "Levophed was initiated at 0.1 mcg/kg/min for persistent hypotension." — Emergency department order
  • "The patient required high-dose Levophed to maintain adequate perfusion pressure." — ICU progress note

Also known as

norepinephrine noradrenaline

Contrasted with

vasodilators

Don't confuse with

epinephrine dopamine dobutamine

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