Turning blue again? Milrinone
I decided to post this up here as I have come to realize there are some of you out there with more knowledge and expierience with this topic than myself.
Saw cardiologist yesterday, labs were good (creatine 1.00) so no signs of end organ dysfunction, which is of course good. My energy levels have also been good. However, over the last week I have started turning blue in the toes more often, and occasionally the fingernail beds. Since it has been intermittent and my bp has been staying above 100 systolic things seem ok. We are doing a repeat right heart cath in 4 weeks.
Today however my toes have been blue, all day not intermittently and now my fingernailbeds. My extremities are of course cold, and I am super chilled despite the house being 72 F.
Im guessing there isn't a whole lot that can be done unless I get signs of central cyanosis as I am already on a decent dose of milrinone, and I asked my doctor if I should be concerned about bouts of peripheral cyanosis and he didn't seem to think so (I am beginning to understand that at this point you aren't going to get normal, and that it is more about trying to maintain what stability you can). But I thought I would double check with "those who know more" and see if it is something I need to even bother the clinic about. My BP is over 100 systolic so I am assuming it can't be cardiogenic shock, however I am not sure how all of that stuff really works once you have milrinone involved. Maybe I am just "dry" again? I just want warm feet and hands lol!