Flolan relaxes vascular smooth muscle cells resulting in vasodilation of the pulmonary and systemic vasculature in a dose dependent manner
It is used for
Pulmonary hypertension
Acute right heart dysfunction
Hypoxemia related to pulmonary vasoconstriction
It has a half-life of 2-6 minutes
It is compatible with nothing at all
It is stable for at room temp for 8 hours and at refrigerated temps for 38 hours
Two filters are used on the expiratory side of the ventilator. The filter closest to the patient is discarded and the new filter is placed directly on the expiratory cassette.
Temp probes should be wiped down Q shift due to possible probe coating from continuous medication.
Check float in heater water chamber Q4 due to risk of sticking. Change chamber if water level at or above black line.
You should be checking the aerogen, vent circuit, temp probes, etc for an accumulation of medication hourly. If needed, clean or change out the soiled equipment.
Additional syringe pump should be readily available in patients room.
An additional aerogen neb cup should be at the ready in case patient requires manual ventilation
To manually ventilate a patient with Flolan, the aerogen must be placed between the anesthesia bag and the patient's airway with the small VDR adapter.