Unique Plan Description: miLRinone (Primacor) IV Guidelines
Plan Selection Display: miLRinone (Primacor) IV Guidelines
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-03-23 12:25:18
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-11-02 13:52:10
Available at all facilities: Yes

miLRinone (Primacor) IV Guidelines
Diagnostic Tests
	Cardiac Telemetry Monitoring Continuous
		T;N
			Comment: during infusion
IV Solutions
		Usual maintenance rate is 0.5 mcg/kg/min.  Maximum rate is 0.75 mcg/kg/min.  Increase dose according to patient hemodynamics and clinical response.(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.375 mcg/kg/min
		100 mL, IV, Routine, T;N
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		20 mg, EVERY BAG, 0.375 mcg/kg/min
		100 mL, IV, Routine, T;N, Total Volume = 100
			Comment: Conc=200mcg/mL.
		For renally impaired patients select below:(NOTE)*
		if CrCl <= 5mL/min then choose 0.2 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.2 mcg/kg/min
		100 mL, IV, Routine, T;N
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		100 mL, IV, Routine, T;N, Total Volume = 100
			Comment: Conc=200mcg/mL.
		20 mg, EVERY BAG, 0.2 mcg/kg/min
		If CrCl<=6-10 mL/min then choose 0.23 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.23 mcg/kg/min
		100 mL, IV, Routine, T;N
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		100 mL, IV, Routine, T;N, Total Volume = 100
			Comment: Conc=200mcg/mL.
		20 mg, EVERY BAG, 0.23 mcg/kg/min
		If CrCl<=11-20 mL/min then choose 0.28 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.28 mcg/kg/min
		100 mL, IV, Routine, T;N
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		20 mg, EVERY BAG, 0.28 mcg/kg/min
		100 mL, IV, Routine, T;N, Total Volume = 100
			Comment: Conc=200mcg/mL.
		If CrCl<=21-30 mL/min then choose 0.33 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.33 mcg/kg/min
		100 mL, IV, Routine, T;N
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		20 mg, EVERY BAG, 0.33 mcg/kg/min
		100 mL, IV, Routine, T;N, Total Volume = 100
		If CrCl<=31-40 mL/min then choose 0.38 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.38 mcg/kg/min
		100 mL, IV, Routine, T;N
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		100 mL, IV, Routine, T;N, Total Volume = 100
		20 mg, EVERY BAG, 0.38 mcg/kg/min
		If CrCl<=41-50 mL/min then choose 0.43 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.43 mcg/kg/min
		100 mL, IV, Routine, T;N
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		100 mL, IV, Routine, T;N, Total Volume = 100
		20 mg, EVERY BAG, 0.43 mcg/kg/min
Medications
	milrinone
		50 mcg/kg, IV Push, Once, T;N
			Comment: infuse over 10 minutes
Patient Care
	Notify MD
		T;N, Notify Cardiologist if continued for more than 48 hours

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase