Incidence of Infusion Site Reactions in Peripheral Fosaprepitant Infusions
Fosaprepitant is administered intravenously to treat chemotherapy-induced nausea and vomiting. To verify the incidence of infusion site reactions and the relationship among risk factors, a quantitative retrospective cohort study was undertaken. The study included patients seen between October 2013 and February 2014. Fifty-seven patients were included in the study, and there were 105 infusions among them. Infusion site reactions were identified in 42 (40%) cases. Risk factors identified by the study included age (P (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2017 Category: Nursing Tags: Features Source Type: research
The Role of Immunoglobulin in the Treatment of Immune-Mediated Peripheral Neuropathies
Immune-mediated neuropathies are a group of peripheral nerve disorders characterized by motor or sensory deficits caused by inflammation leading to demyelination or axonal injury. Intravenous immunoglobulin (IVIg) has been demonstrated to be an effective therapy for the 3 most common immune-mediated neuropathies: Guillain-Barré syndrome, chronic inflammatory demyelinating polyneuropathy, and multifocal motor neuropathy. This review summarizes current data on the rationale for the use of IVIg in immune-mediated neuropathies, addressing mechanism of action, clinical evidence, and practical considerations for its use. (Sourc...
Source: Journal of Infusion Nursing - November 1, 2017 Category: Nursing Tags: Features Source Type: research
Evaluation of the Predictive Validity of Thermography in Identifying Extravasation With Intravenous Chemotherapy Infusions
This study evaluated the predictive validity of thermography for identifying extravasation during intravenous antineoplastic therapy. Of 257 patients who received chemotherapy through peripheral veins, extravasation was identified in 26. Thermography was performed every 15 to 30 minutes during the infusions. Sensitivity, specificity, positive predictive value, and negative predictive value using thermography were 84.6%, 94.8%, 64.7%, and 98.2%, respectively. This study showed that thermography offers an accurate prediction of extravasation. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2017 Category: Nursing Tags: Features Source Type: research
Rheumatoid Arthritis: Pathophysiology and Safe Administration of Biologics
Approximately 1 in 5 people in the United States suffers from autoimmune diseases. To explain the pathophysiology of autoimmune disease, a basic understanding of the normal and dysfunctional immune system is necessary. Rheumatoid arthritis is used as a model to explain the basics of autoimmune disease. The infusion nurse plays a key role in patient education and the safe administration of biologics. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2017 Category: Nursing Tags: Features Source Type: research
Improving Quality of Chest Radiographs After Placement of Peripherally Inserted Central Catheters
The goal of this study was to determine the best method for localizing peripherally inserted central catheters (PICCs) in postplacement portable chest radiographs. A retrospective analysis showed no significant difference in visualization of the PICC tip between different chest radiograph projections. Modifications were made to an institutional PICC protocol to obtain anteroposterior chest views with the guidewire present only. Repeat analysis demonstrated statistically significant increases in the frequency of anteroposterior radiographs performed, the number of chest radiographs with guidewire, and the localization of th...
Source: Journal of Infusion Nursing - November 1, 2017 Category: Nursing Tags: Features Source Type: research
A Review of Best Practices for Intravenous Push Medication Administration
This report attempts to provide clarity about the rationale and background regarding the need for practice improvement, discussion of various guidelines, and practice mitigation strategies to improve patient safety. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2017 Category: Nursing Tags: Features Source Type: research
High-Dose Subcutaneous Immunoglobulin in Patients With Multifocal Motor Neuropathy: A Nursing Perspective: Erratum
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2017 Category: Nursing Tags: Departments: Erratum Source Type: research
Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Chemotherapy Safety
The first fatal incident of wrong-route administration of vinca alkaloids occurred in 1968. Initial recommendations for practice change occurred in 2005. In 2012, 54% of oncology treatment sites had changed their practice. The authors' institution has developed a safe, adaptable, and consistent process to prepare, deliver, and administer vinca alkaloids by means of a minibag delivery. A multidisciplinary team, including representatives from the nursing and pharmacy departments, reviewed the literature and developed all processes, including staff education. Minibag administration began in August 2015, and more than 2063 dos...
Source: Journal of Infusion Nursing - November 1, 2017 Category: Nursing Tags: Features Source Type: research
The Role of the Registered Nurse in the Insertion of Nontunneled Central Vascular Access Devices
As the result of requests from several state boards of nursing, the Infusion Nurses Society (INS) convened a task force to determine whether insertion of central vascular access devices by appropriately trained registered nurses (RNs) should be recommended. The task force consisted of RNs and advanced practice registered nurses with infusion therapy experience in various practice settings. The results are presented in INS' newest position paper, adopted by the INS Board of Directors, September 2017. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2017 Category: Nursing Tags: Departments: INS Position Paper Source Type: research
The Truth Is, Patients Are Safer Today Than 20 Years Ago
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2017 Category: Nursing Tags: Departments: Perspectives from INS Partners Source Type: research
A Dedicated Partnership in Safe Medication Practices
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2017 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 - September 1, 2017 Category: Nursing Tags: Departments: Continuing Education Source Type: research
Is Thrombus With Subcutaneous Edema Detected by Ultrasonography Related to Short Peripheral Catheter Failure? A Prospective Observational Study
Short peripheral catheter (SPC) failure is an important clinical problem. The purpose of this study was to clarify the relationship between SPC failure and etiologies such as thrombus, subcutaneous edema, and catheter dislodgment using ultrasonography and to explore the risk factors associated with the etiologies. Two hundred catheters that were in use for infusion, excluding chemotherapy, were observed. Risk factors were examined by logistic regression analysis. Sixty catheters were removed as the result of SPC failure. Frequency of thrombus with subcutaneous edema in SPC failure cases was significantly greater than in th...
Source: Journal of Infusion Nursing - September 1, 2017 Category: Nursing Tags: Features Source Type: research
High-Dose Subcutaneous Immunoglobulin in Patients With Multifocal Motor Neuropathy: A Nursing Perspective
Multifocal motor neuropathy (MMN), an immune neuromuscular condition causing progressive weakness, usually responds to immune-mediated treatments, including intravenous immunoglobulin (IVIG). Fifteen patients with MMN receiving IVIG were enrolled in an open-label, single-center trial and switched to 20% subcutaneous immunoglobulin (SCIG) using a smooth transition protocol (ie, changing the therapy without interruption or impact on the intended outcome of the therapy). Patients received individualized training and support based on motivation and ability to learn, follow directions, and maintain compliance. Although some pat...
Source: Journal of Infusion Nursing - September 1, 2017 Category: Nursing Tags: Features Source Type: research
Use of Electronic Tablets for Patient Education on Flushing Peripherally Inserted Central Catheters
The purpose of this study was to examine the efficacy of using an electronic tablet to provide patient education for flushing peripherally inserted central catheters (PICCs) as a way to reduce the incidence of occlusion. Eleven patients, newly diagnosed with cancer, participated in a pilot study that used a video on PICC flushing and remote coaching using FaceTime (Apple, Cupertino, CA) to teach patients how to maintain their PICCs in their homes. At the end of the 6-week intervention, no adverse outcomes (occlusions or infections) were noted among the patients who participated in the study. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2017 Category: Nursing Tags: Features Source Type: research
