CARDIAC (Milrinone and Dobutamine)

Nursing Considerations

Since these are cardiac meds, they CAN NOT be flushed as this would be a bolus of the drug.

1. If patient has a double lumen PICC line, one lumen will be dedicated for the infusion.  DO NOT draw labs from this lumen and DO NOT flush this line.  Use the second lumen to draw the ordered labs. 

2. If patient has a single lumen PICC DO NOT draw labs from the line and DO NOT flush the line.  Labs to be drawn peripherally.

3. MicroClave to be changed weekly

   • Place new MicroClave on end of tubing and prime the MicroClave with the pump

   • Remove old MicroClave and attach new MicroClave to lumen and start the pump.  DO NOT flush the line with NS.

4. Patient will be seen weekly (Q7 days) for CVC dressing change and lab draws.

   
   
   
   

 Teaching Points

1. The same topics as care for CVC’s.  See Start of Care (SOC) teach.

   • https://www.hhc-resources.com/visit-types-1/start-of-care-(soc)-teach

2. Teach the patient how to change bag, how to reset the volume on the pump and how to troubleshoot pump alarms.

   • Some pharmacies send two pumps for the patient.  Instruct patient to use second pump if first pump is not working and to reach out to pharmacy about the non-working pump.

3. If patient has double lumen, instruct patient to flush the non-cardiac lumen q 24hrs as ordered by pharmacy.

4. Instruct the patient to never allow the bag to "run dry".

5. Instruct patient to seek medical attention immediately if there is any disruption to the infusion and the patient is not receiving the infusion.

Additional Information

Patient_Education.pdf   

Milrinone Infusion Using Curlin Pump