What special care should be exercised when administering IV Dopamine?

When administering IV Dopamine, special care should indeed be exercised due to the potential for infiltration leading to tissue necrosis. Dopamine, when infiltrated into surrounding tissue rather than into the bloodstream, can cause significant irritation and damage to the tissue. This is particularly concerning because the extravasation of the medication can lead to necrosis, which is the death of tissue, and might require surgical intervention to prevent complications such as ulcers or permanent damage.

Monitoring for infiltration is crucial in intravenous administration of medications like Dopamine because they can be caustic to tissues. Ensuring the IV site is patent and observing for any signs of swelling, redness, or discomfort helps prevent these adverse effects. The administration of Dopamine necessitates careful site observation and immediate action if infiltration is suspected.

Other related information includes that while monitoring blood pressure and being mindful of the risk of cardiac arrhythmias are important when using Dopamine, they do not directly relate to the specific concern of tissue damage from infiltration. Additionally, the medication can indeed be administered through peripheral lines, albeit with caution, rather than being restricted to central lines, making the statement about only using a central line less relevant in this context.