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Dopamine vasoconstricts, so it increases the blood pressure in cardiogenic shock. Nitroprusside is a vasodilator, it decreases preload (left ventricular stretch) and afterload (resistance). They are used in combination in cardiogenic shock to achieve a good hemodynamic effect or "good balance" or adequate blood flow.

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Q: What is the goal of combined dopamine and nitroprusside therapy?
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