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Congenital heart: Primacor (milrinone) is a drug given by intravenous infusion to increase contraction strength of the heart while reducing blood vessels' resistance to cardiac output. It's used in the hospital and for outpatient infusion therapy of advanced heart failure. Dr. Mustard developed his operation to treat congenital transposition of the great vessels. It was the standard of care for many years. ...Read more
It's not ALWAYS bad: Primacor (milrinone) is actually quite useful in appropriate situations. It is commonly used in acute cardiogenic shock, especially from stunned myocardium post heart attack and reperfusion. It is also used commonly post bypass surgery. It is bad when used recurrently in chronic end-stage CHF patients, as it will increase mortality in these patients. It can be used palliatively, however. ...Read more
After CABG a patient is on pressors & usually an inotrope; after a day or 2 how does the body change/adapt to titrate these dips off during recovery?
Easily explained: The heart muscle recovers its pumping strength. ...Read more
Standard dose: as starting point is 0.375mcg/kg/min IVGet a more detailed answer ›
Unless it is contraindicated for some reason, if inotropes cannot be administered because a patient is nil by mouth can they be administered via IV?
Vasopressors: Necessary cardiovascular medications can be given via IV. ...Read more
Have low ejection fraction. Have pick line in my arm witth a constant drip of milrinone. How long should I stay on the drip ? When should I get lvad
No. Of course not.: Not a good thing to do. The intentional habit of inhaling burning organic material, combined with various chemicals used in the growing and manufacturing of that material (regardless of whether it is tobacco, marijuana, or any other plant) is bad for the body. Just think about it. Who would intentionally start something burning and inhale the stuff over and over and over? ...Read moreSee 1 more doctor answer
Not if inside us...: Lead is naturally occurring on earth. Outside of our bodies, lead is not a problem. If we eat or drink too much of it, it becomes a toxic contaminant inside our bodies. Lead is everywhere in our industrialized world, which means one shouldn't worry too much about it, but be sure our families are not eating or drinking things containing lead, nor using lead-contaminated containers or toys. ...Read more
See below: First of all, i don't suggest getting "fat" as it brings about many hazards. But if you are underweight and want to gain weight, do so by increasing your calorie intake. You need to consume more calories than you burn. Don't do this by eating a lot of junk food. Make sure you're getting all your essential nutrients. Also, you can gain muscle mass by weight lifting or other activities like that. ...Read moreSee 1 more doctor answer
Sex is Part of Life: Sex is a very important part of our human experience. Sex can be used to enhance life, bring life to the world, to heal and enhance relationships. All forms of sexual activity can be used to be healthy but they can be misused and cause hurt and pain. But, being sexual is going to be part of your life experience and there is nothing unhealthy about being curious and learning. ...Read more