Does Hyperglycemia Affect Risk of Peripherally Inserted Central Catheter-Related Upper Extremity Venous Thrombosis?
It is not clear whether blood glucose (BG) affects the risk of peripherally inserted central catheter (PICC)-related upper extremity venous thrombosis (PRUEVT). A case-control study was conducted comparing patients with PRUEVT versus patients with PICCs who did not develop PRUEVT. BG on admission was significantly higher among cases with PRUEVT than controls. No significant differences were found between the groups in hemoglobin A1c or BG on the third day of hospitalization. PRUEVT cases were more likely to be diabetic, but this did not reach statistical significance. The time that a PICC was in place before PRUEVT was dia...
Source: Journal of Infusion Nursing - April 18, 2018 Category: Nursing Tags: Features Source Type: research
Transitioning Patients With Iron Overload From Exjade to Jadenu
Iron overload is a concern for patients who require chronic transfusions as a result of inherited or acquired anemias, including sickle cell disease, thalassemia, and myelodysplastic syndromes. Iron chelation therapy (ICT) is the primary treatment for iron overload in these patients. The ICT deferasirox, which has been available as an oral dispersible tablet for liquid suspension, is now also available as a once-daily, film-coated tablet (FCT). Deferasirox FCT allows greater convenience and may be associated with fewer gastrointestinal side effects versus the original formulation. Dose adjustment increments, determined by ...
Source: Journal of Infusion Nursing - April 18, 2018 Category: Nursing Tags: Features Source Type: research
Maintaining Short Peripheral Catheter Patency: A Comparison of Saline Lock Versus Continuous Infusion in the Acute Care Setting
This study compared the duration of 85 SPCs: locked with saline versus continuously running fluids. A secondary analysis considered the influence of a number of intermittent medications and flushes. Although the saline-locked group had a slightly longer duration time, it was not statistically significant. Factors such as desire to ambulate or nighttime saline flushes merit consideration in SPC care decisions and standardized nurse-driven protocols. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - April 18, 2018 Category: Nursing Tags: Features Source Type: research
Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors
This article discusses the second victim syndrome and its impacts on nurses. Original research on 168 recent nursing graduates and their experiences with second victim syndrome after making an infusion-related error is also presented. The article concludes with strategies to help nurses cope with the aftermath of making an infusion therapy-related medication error. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - April 18, 2018 Category: Nursing Tags: Features Source Type: research
The Year of Advocacy
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - April 18, 2018 Category: Nursing Tags: Departments: Editorial Source Type: research
Continuing Education for Nursing Contact Hours and CRNI® Recertification Units
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2018 Category: Nursing Tags: Departments: Continuing Education Source Type: research
A Randomized Controlled Study to Evaluate the Effectiveness of 2 Treatment Methods in Reducing Incidence of Short Peripheral Catheter-Related Phlebitis
Short peripheral catheter (SPC)-related phlebitis can lead to bloodstream infections and affect patients' quality of life. A randomized trial was carried out to evaluate the effectiveness of 2 treatment methods in reducing the incidence of SPC-related phlebitis. The 2 treatment methods differed in terms of the cleansing solution used before insertion and dressing material used after removal. The results demonstrated that the type of cleansing solution and postremoval dressing material did not make a difference in the incidence of phlebitis. Strict adherence to aseptic techniques and prompt removal of the SPC remained the c...
Source: Journal of Infusion Nursing - March 1, 2018 Category: Nursing Tags: Features Source Type: research
Does a Dedicated Lumen for Parenteral Nutrition Administration Reduce the Risk of Catheter-Related Bloodstream Infections? A Systematic Literature Review
Guidelines recommend using single-lumen central vascular access devices (CVADs) for the administration of parenteral nutrition (PN) or lipid-based solutions, or a dedicated lumen on a multilumen CVAD. Publications reviewed by the authors reported comparative rates of catheter-related bloodstream infection (CR-BSI) in patients with CVADs who received PN through a dedicated lumen compared with those who had PN administered through multilumen CVADs. Two studies included 650 patients with 1349 CVADs. CR-BSIs were equally distributed between the 2 groups. Both studies were poorly reported and had significant risk of bias. These...
Source: Journal of Infusion Nursing - March 1, 2018 Category: Nursing Tags: Features Source Type: research
Selection of Single- Versus Double-Lumen Peripherally Inserted Central Catheters and the Influence on Alteplase Use
The purpose of this article is to share the efforts of one institution in reducing risk of central line-associated bloodstream infections (CLABSIs). The aim is to review alteplase use as a marker for peripherally inserted central catheter (PICC) occlusions, which may increase risk of CLABSIs. The discovery that alteplase use increased with the number of PICC lumens allowed for exploration of ordering and placement practices. Following education, placement of double-lumen PICCs decreased. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2018 Category: Nursing Tags: Features Source Type: research
Optimizing Drug Delivery of Small-Volume Infusions
When administering intermittent secondary intravenous infusions, commonly referred to as intravenous piggyback (IVPB) infusions, residual medication remains in the administration set and bag. No previous studies exist examining the optimal technique to infuse the residual medication. The aims of this study were to identify various IVPB ancillary techniques used to administer medication residing in the secondary administration set and bag following an infusion, evaluate the potential drug loss associated with each technique, and recommend a standard ancillary technique for administration of select small-volume IVPB infusion...
Source: Journal of Infusion Nursing - March 1, 2018 Category: Nursing Tags: Features Source Type: research
Antimicrobial Efficacy of a New Chlorhexidine-based Device Against Staphylococcus aureus Colonization of Venous Catheters
The objective of this study was to evaluate the antimicrobial efficacy of ChloraLock with in vitro tests and its ability to reduce Staphylococcus aureus contamination of catheters in the external jugular veins of Yorkshire swine. ChloraLock significantly reduced the bacterial load in the in vitro tests by up to 6 log10 colony-forming units (CFU) and by 3 to 4 log10 CFU/lumen in vivo in a swine model with 0.9% NaCl catheter locks. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2018 Category: Nursing Tags: Features Source Type: research
Factors Contributing to Phlebitis Among Adult Patients Admitted in the Medical-Surgical Units of a Central Hospital in Harare, Zimbabwe
This descriptive survey identified factors contributing to phlebitis among 46 adult inpatients using a systematic random sample. The visual infusion phlebitis score was used for assessment. All participants had phlebitis, with stage 4 being most frequent. Factors identified were gender (males—91.7%); immunosuppression (human immunodeficiency virus—63.0%; diabetes—100%; immunosuppressive drugs—100%; absolute leucocyte count 1—90.9%); site of catheterization (dorsum of wrist—100%); catheter dwell time (2-4 days—100%); catheter gauge (18-gauge—75%); catheter securement (unsecured/contaminated dressing—90%); ...
Source: Journal of Infusion Nursing - March 1, 2018 Category: Nursing Tags: Features Source Type: research
Antibody Formation in Transfusion Therapy
The production of antibodies following blood transfusions is a complex process that involves many recipient and donor factors. Inflammation in the recipient is one important factor. As knowledge of the immune system, of oxygen, carbon dioxide, and nitric oxide pathways, and of hemostasis grows, more specific therapies will allow precise manipulation of the immune system and safer transfusions. Communication of patients' transfusion and immunotherapy histories with the laboratory, attention to detail in labeling pretransfusion specimens, checking patient and blood product identification before administration, and closely mo...
Source: Journal of Infusion Nursing - March 1, 2018 Category: Nursing Tags: Features Source Type: research
Be Exceptional. Be a CRNI®.
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2018 Category: Nursing Tags: Departments: Editorial Source Type: research
Difficulties Related to Peripheral Intravenous Access in Children in an Emergency Room
This prospective study examined the characteristics of children admitted to a pediatric emergency department and the factors that influenced the successful establishment of peripheral intravenous (IV) access. Descriptive and correlational analysis was completed using a convenience sample of 89 patients. Peripheral IV access was successful in 95.7% of the children, and the first attempt at insertion was successful in 53% of the procedures. Factors influencing the success of peripheral IV access were the patient's gender, skin color, presence of difficult-to-see veins, small veins, presence of fever, and a lack of palpable v...
Source: Journal of Infusion Nursing - January 1, 2018 Category: Nursing Tags: Features Source Type: research
