Cardiac (Milrinone & Dobutamine)

Dobutamine & Milrinone are cardiac meds infused through a continuous drip. 
 
Important Consideration: Do not flush the infusion line! This will cause a bolus of the drug.
 
Bag Changes:
  • Generally required every 48 hours (verify on the order). 
  • Needs to be changed before or just as the bag is emptying to avoid any disruption in the drip. 
  • Instruct the patient to never allow the bag to "run dry."
Lab Draws:
  • If the patient has a double lumen PICC line, use the lumen in which the med is not infusing.
  • If it is a single lumen PICC, you will need to draw labs peripherally.