milrinone should generally not be interrupted during procedures unless there is a specific physician order.
High Alert Drug: IV inotropic medications
• Special instructions on MAR to check HR prior to administration. • Two RNs independently verify dose prior to administration.
Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
milrinone (Primacor) IV
Y
Y not being titrated
N
N
N
N
N
N
Iredell Memorial Hospital ICU Adult Infusion Guidelines
Note: This information is intended to serve as a guide outlining the most commonly accepted infusion rates to date. However, it is recognized that some patients may require safe and therapeutic doses outside of the stated range for medical management. Unless otherwise specified by the physician, infusions are to be initiated at the lowest dose and titrated accordingly to specified parameters while documenting patient response and tolerability.
Drug Name
Onset
Preparation
Compatible fluids
milrinone (Primacor)
5-15 min
20 mg/100 ml
NS and D5W
Normal Dosage
Titration Guidelines (for increasing and decreasing doses)
• Two RNs independently verify dose prior to administration.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
IV
not being titrated