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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
Rash?: Is there anaccompaning rash? Isolated itching can be from the outside dry skin, cold, exercise or an irritation. From the inside due to medications, renal, or liver issues. Hydrocortisone cream, saran lotion, calamine, aloe vera can all offer temporary reilef. Need more info for a more specific answer. ...Read moreSee 2 more doctor answers
Depends!: Medications are neither inherently good nor bad. It's the (intent of) use that can make something "bad". Improper use, improper dose, improper frequency, improper route of administration can all make any "good" drug bad. Hctz (hydrochlorothiazide) used to lower blood pressure is a "bad" drug to lower cholesterol or cure strep throat b/c it does neither. Yet, it's a great drug for hypertension. Talk to your familydoc. ...Read moreSee 2 more doctor answers