Milranone and B/P

Published

Anyone else out there have problems with milranon and significant decreases in (well...down right scary decreases actually) blood pressure?

Specializes in Critical Care Baby!!!!!.

My experience with Primacor has been much the same with the hypotension. However, it works great to reduce the SVR while increasing the CO/CI. You have to keep in mind though, that it WILL decrease your blood pressure related to the afterload affects, so it is imperative that you make sure that your patient is not dry. If you tank them up good usually the pressure will not drop; if it does than a pressor will be needed. It works great for increasing an index that is otherwise untouchable with anything else.

Up Vote Up Vote ×
Specializes in Cardiology.
my concern is that you did not look up the medication and anticipate that before you gave it, it is a serious cardiac medication and should be given by knowledgable hands. asking us hear on this forum is ok, but man you need to empower your self.

how do you know she didnt look it up? the outcome wasnt what she expected so she asked here to see if others have had similar experiences. thanks for your invaluable 2cents.

Up Vote Up Vote ×
Specializes in cardiac intensive care.

Milrinone vasodilates so yeah it lowers BP.

Up Vote Up Vote ×
Specializes in cardiac intensive care.
how do you know she didnt look it up? the outcome wasnt what she expected so she asked here to see if others have had similar experiences. thanks for your invaluable 2cents.

Tha fact that she didnt know that hypotension is the number on side effect that any competent cardiac nurse should know and if she had looked it up she wouldn't be asking. So thank you for for your invaluable 2 cents. If you don't know a med look it up. Milrinone is a vasodialator so hypotension is listed as the number one side effect. Good thing the patient turned out ok because this is what most lawsuits result from nurses not knowing their meds and the pharmokinectics and side effects. Its a forum when you put the post out there everyone can write what they want. So if you don't like the answers don't reply. :angryfire

Up Vote Up Vote ×
Specializes in ICU/ER.

There are nice ways to say things and give advice. When you put someone down for asking a question it gives ICU nurses the whole nasty nurse vibe. Personally, you should look up all meds and side effects as well as drug interactions, how they are excreted, if they need to be altered for renal function, etc. Pharmacy can be a valuable tool-we have a pharmacist assigned only to the Unit and she is AWESOME. Good luck to you in the future!!!!!!!!!!!!

In addition, when I have had pts on Milrinone they've usually had a very low svr, and we've used norepi to tighten them back up peripherally. It has been very helpful with my post oh ts co/ci!

Up Vote Up Vote ×
+ Join the Discussion