Heparin-Induced Thrombocytopenia
This article reviews the risk factors for, pathophysiology of, and management of HIT. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2017 Category: Nursing Tags: Features Source Type: research
Continuous Intravenous Milrinone Therapy in Pediatric Outpatients
Milrinone is a phosphodiesterase 3 inhibitor with both positive inotropic and vasodilator properties. Administered as a continuous infusion, milrinone is indicated for the short-term treatment of patients with acute decompensated heart failure. Despite limited data supporting long-term milrinone therapy in adults with congestive heart failure, children managed as outpatients may benefit from continuous milrinone as a treatment for cardiac dysfunction, as a destination therapy for cardiac transplant, or as palliative therapy for cardiomyopathy. The aim of this article is to review the medical literature and describe a home ...
Source: Journal of Infusion Nursing - March 1, 2017 Category: Nursing Tags: Features Source Type: research
Teamwork Can Change Everything
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2017 Category: Nursing Tags: Departments: Perspectives from INS Partners Source Type: research
Shared Commitments Offer Endless Opportunities to Affect Patient Care
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2017 Category: Nursing Tags: Departments: Editorial Source Type: research
Pharmacokinetics, Safety, and Efficacy of Recombinant Factor VIII Fc Fusion Protein: A Practical Review
Prophylaxis for hemophilia A with conventional factor VIII (FVIII) products requires frequent intravenous dosing, which may reduce adherence. Recombinant factor VIII Fc fusion protein (rFVIIIFc) has a prolonged half-life compared with conventional rFVIII, and has demonstrated safety and efficacy for the prevention and treatment of bleeding episodes in phase 3 studies of patients with severe hemophilia A. Most subjects experienced reduced prophylactic dosing frequency with rFVIIIFc compared with prestudy FVIII; the median total weekly prophylactic consumption was comparable. No subjects developed inhibitors. These results s...
Source: Journal of Infusion Nursing - January 1, 2017 Category: Nursing Tags: Features Source Type: research
Antibiotic Classification and Indication Review for the Infusion Nurse
Outpatient parenteral antimicrobial therapy (OPAT) has become an increasingly common practice for the treatment of infections. The infusion nurse plays a vital role in administering, monitoring, and educating patients about parenteral antibiotics, while bridging communication between the patient and OPAT team. It is important for the infusion nurse to know common indications, adverse effects, monitoring parameters, and the mechanism of action for antibiotics used in OPAT to provide optimal patient care. This review includes those antibiotics, which are frequently administered or recently approved with a high likelihood of ...
Source: Journal of Infusion Nursing - January 1, 2017 Category: Nursing Tags: Features Source Type: research
Pediatric Parenteral Nutrition-Associated Liver Disease
Pediatric parenteral nutrition-associated liver disease (PNALD) is typically defined as a decrease in bile flow that is independent of a mechanical obstruction and of any other underlying liver disease. It is most often seen in pediatric patients receiving parenteral nutrition support. Up to 50% to 66% of children receiving long-term parenteral nutrition are reported to be diagnosed with PNALD. The goal of treatment for PNALD is advancement to full enteral nutrition and elimination of dependence on parenteral nutrition support. Achieving this goal is not always possible, especially in patients with short bowel syndrome. Th...
Source: Journal of Infusion Nursing - January 1, 2017 Category: Nursing Tags: Features Source Type: research
Thrombocytopenia: A Destruction of Platelets
This article discusses various etiologies of disorders of low platelets and current therapies for management. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - January 1, 2017 Category: Nursing Tags: Features Source Type: research
Development of an Evidence-Based List of Noncytotoxic Vesicant Medications and Solutions
Infiltration of a vesicant medication, defined as extravasation, may result in significant patient injuries. The first step in preventing extravasation is the identification and recognition of vesicant medications and solutions. Because there is no list of noncytotoxic vesicants as established by a professional organization, the Infusion Nurses Society, as the global authority in infusion nursing, identified the need to address this gap. A task force was formed for the purpose of creating an evidence-based list of noncytotoxic vesicant medications and solutions. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - January 1, 2017 Category: Nursing Tags: Features Source Type: research
Vascular Access Specialist Training, Experience, and Practice in the United States: Results From the National PICC1 Survey
Vascular access specialists are increasingly responsible for insertion and care of peripherally inserted central catheters in the United States. Despite proliferation of the specialty, little is known about the training, practice patterns, and experiences of these clinicians. In partnership with a vascular access and an infusion nursing organization, a Web-based survey of 1698 clinicians was conducted. Substantial variation in practices related to insertion, use of technology, dressing and flushing, and management of complications was observed. Some reported practices were inconsistent with available evidence-based recomme...
Source: Journal of Infusion Nursing - January 1, 2017 Category: Nursing Tags: Features Source Type: research
Looking Back, Looking Forward
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - January 1, 2017 Category: Nursing Tags: Departments: Perspectives from INS Partners Source Type: research
Fabulous at Forty!
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - January 1, 2017 Category: Nursing Tags: Departments: Editorial Source Type: research
Fluid and Electrolyte Imbalances: Interpretation and Assessment
Maintaining the balance of fluid and electrolytes is crucial to the care of patients across the continuum. To do this, a practitioner must be cognizant of key monitoring and assessment parameters. Key electrolytes, their function within the body, normal values, signs and symptoms of imbalances, key treatment modalities, and other considerations are discussed. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2016 Category: Nursing Tags: Features Source Type: research
Review of Intravenous Lipid Emulsion Therapy
This article will explain the available formulations of IVFE, administration, and maintenance issues, as well as the risks and benefits for various applications. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2016 Category: Nursing Tags: Features Source Type: research
Controversies in Persistent (Chronic) Lyme Disease
The Centers for Disease Control and Prevention estimates that more than 300 000 new cases of Lyme disease occur each year in the United States and that 10% to 20% of these patients will remain symptomatic despite receiving appropriate antibiotic therapy. Many elements of the disease are poorly understood and have generated considerable controversy. This paper discusses the medical controversies related to posttreatment manifestations and their potential impact on infusion nurses. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2016 Category: Nursing Tags: Features Source Type: research
