Milrinone lactate

Frusemide is physically incompatible with diltiazem hydrochloride, dobutamine hydrochloride, dopamine hydrochloride, labetalol hydrochloride, midazolam hydrochloride, milrinone lactate, nicardipine hydrochloride, parenteral nutrient solutions, cisatracurium besylate, and vecuronium bromide. 

For IV infusion, inamrinone lactate and milrinone lactate Injection solutions may be diluted In sodium chloride solution for injection. Inamrinone lactate for injection is preserved with sodium metabisulfite and needs protection from light. It should not be diluted with solutions containing dextrose, because a chemical Interaction occurs over 24 hours. For milrinone, an immediate chemical interaction with furosemide with the formation of a precipitate is observed when furosemide is injected into an infusion of milrinone. Patients who are sensitive to bisulfites also may be sensitive to inamrinone lactate injection, which contains sodium metabisulfite. 

Glycosides include digoxin (Lanoxin), inamrinone lactate (Inocor) and milrinone lactate (Primacor), and positive inotropic bipyridines. The antidote for glycoside toxicity is digoxin immune Fab (Ovine, Digibind). 

The client in congestive heart failure is prescribed milrinone lactate (Primacor), a phosphodiesterase inhibitor. Which priority intervention should the nurse implement ... 

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