Chemotherapy-Induced Peripheral Neuropathy: Nursing Implications
Chemotherapy-induced peripheral neuropathy (CIPN) is an unsolved and potentially life-compromising problem for most patients receiving neurotoxic chemotherapy. It manifests with numbness, tingling, and possibly neuropathic pain and motor and autonomic symptoms. This review aims to provide an evidence synthesis that prepares nurses to comprehensively assess, provide supportive care for, and critically evaluate the literature on CIPN. The prevalence, significance, characteristics, mechanisms, and risk factors of CIPN will be discussed, as well as nursing-relevant evidence on the assessment, prevention, and management of CIPN...
Source: Journal of Infusion Nursing - April 15, 2020 Category: Nursing Tags: Features Source Type: research

Risk of Patient Harm Related to Unnecessary Dilution of Ready-to-Administer Prefilled Syringes: A Literature Review
Unnecessary dilution of ready-to-administer (RTA) syringes could increase the risk of patient harm attributed to errors related to incorrect dose, improper labeling, and the potential for microbial contamination. Although published guidelines endorse the use of commercially available RTA syringes, recent surveys indicate that best practices are not always implemented. The purpose of this article is to review the existing literature and to assess the incidence and nature of errors related to the unnecessary dilution of RTA intravenous (IV) push medications in the inpatient clinical setting. The PubMed database was searched ...
Source: Journal of Infusion Nursing - April 15, 2020 Category: Nursing Tags: Features Source Type: research

Advances in Hereditary Angioedema: The Prevention of Angioedema Attacks With Subcutaneous C1-Inhibitor Replacement Therapy
Hereditary angioedema (HAE) is a debilitating condition caused by a functional C1-inhibitor (C1-INH) deficiency and characterized clinically by episodes of subcutaneous or submucosal swelling. C1-INH replacement is highly effective for preventing HAE attacks and can improve health-related quality of life. Once available only for intravenous use, C1-INH is now available as a subcutaneous formulation for self-administration, shown to provide sustained plasma levels of C1-INH and reducing the monthly median HAE attack rate by 95% versus placebo in the phase 3 COMPACT study. Subcutaneously administered C1-INH satisfies multipl...
Source: Journal of Infusion Nursing - April 15, 2020 Category: Nursing Tags: Features Source Type: research

Occupational Exposure in Health Care Personnel to Antineoplastic Drugs and Initiation of Safe Handling in Hong Kong: A Literature Review
This article aims to provide a literature review on the occupational exposure of health care personnel to antineoplastic drugs and to reflect the current status in Hong Kong. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - April 15, 2020 Category: Nursing Tags: Features Source Type: research

The Role of the Registered Nurse in the Use of Intraosseous Vascular Access Devices
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - April 15, 2020 Category: Nursing Tags: Features: Position Statement Source Type: research

2020 Year of the Nurse—Celebrate Nursing, Celebrate You
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - April 15, 2020 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, 2020 Category: Nursing Tags: Departments: Continuing Education Source Type: research

Experience and Satisfaction of Cancer Patients With a Central Venous Catheter at a Tertiary Hospital in South Korea
As cancer chemotherapy transitions from inpatient care to outpatient care, the number of patients who receive a central venous catheter (CVC) and the interest in CVCs as a safe intravenous administration route have increased recently in South Korea. The purpose of this study was to investigate the discomforts and satisfaction that cancer patients with a CVC may experience in daily activities as an outpatient and to provide rationale for nursing interventions. Data collection was conducted between April 11, 2011, and August 31, 2011. Forty-three questionnaires were collected, and a total of 41 questionnaires were used for t...
Source: Journal of Infusion Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Hyperemesis Gravidarum: Strategies to Improve Outcomes
Hyperemesis gravidarum (HG) is a debilitating and potentially life-threatening pregnancy disease marked by weight loss, malnutrition, and dehydration attributed to unrelenting nausea and/or vomiting; HG increases the risk of adverse outcomes for the mother and child(ren). The complexity of HG affects every aspect of a woman's life during and after pregnancy. Without methodical intervention by knowledgeable and proactive clinicians, life-threatening complications may develop. Effectively managing HG requires an understanding of both physical and psychosocial stressors, recognition of potential risks and complications, and p...
Source: Journal of Infusion Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Compassionate Care of the Patient Who Uses Substances: Implications for the Infusion Nurse
This article provides the infusion nurse with the essential principles of compassionate care of the patient who uses substances. A fundamental understanding of how to work with patients who use substances may enhance the infusion nurse's practice. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Comparing Care of the Primary and Secondary Hemochromatosis Patients
Hemochromatosis is an imbalance of excessive serum iron and is a life-threatening condition if left untreated. Due to different causes, primary and secondary hemochromatosis have different patient care considerations for the infusion nurse. Understanding the pathophysiology and how the body absorbs iron is imperative for providing the highest quality care. Since primary (hereditary) hemochromatosis originates from a gene mutation, and secondary (acquired) from excessive intake, the treatment and education must be adjusted accordingly to deliver successful outcomes for both diagnoses. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Biosimilar Basics
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2020 Category: Nursing Tags: Departments: Pharmacology Report Source Type: research

Go the Extra Mile
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2020 Category: Nursing Tags: Departments: Editorial Source Type: research

Best Practice for Delivering Small-Volume Intermittent Intravenous Infusions
This study investigated the delivery of small-volume intermittent intravenous (IV) infusions. Laboratory protocol evaluated potential medication loss among 6 administration methods using 50- and 100-mL solutions. Significant variations existed in calculated medication loss depending on administration method and volume. Up to 35% of medication may not be administered due to residual volume, with the greatest percentage associated with 50-mL solutions. Results suggest that intermittent IV infusions should only be delivered as a secondary infusion through a primary infusion administration set with a continuous infusion or an ...
Source: Journal of Infusion Nursing - January 1, 2020 Category: Nursing Tags: Features Source Type: research

Challenges Associated With Vascular Access Needs of Patients With Factitious Disorder
Factitious disorder, formerly known as Munchausen syndrome, is a type of mental illness in which patients fabricate symptoms to gain attention or sympathy. When considering a patient with factitious disorder as a candidate for infusion therapy, the clinician must be aware of the challenges associated with providing an invasive treatment to high-risk patients while promoting safety. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - January 1, 2020 Category: Nursing Tags: Features Source Type: research