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ASBMT2013-Carelock
ASBMT2013-Carelock

...  Contaminate: Immunosuppressive agents (TAC/CSA) adhere to the inner aspect of the patient’s central access device. If a nurse inadvertently withdraws blood from the lumen that TAC/CSA has infused into, the resultant drug level will be higher than the actual circulating blood drug level.  TAC/CSA: ...
Comparison of Tibial Intraosseous, Sternal Intraosseous
Comparison of Tibial Intraosseous, Sternal Intraosseous

... cardiovascular compromise, vascular access procedures become difficult and time-consuming. The difficulty and delay in establishing vascular access may be magnified during mass casualty scenarios or a situation such as when multiple limbs are traumatically amputated in the same patient. These factor ...
Kimberly-Clark Health Care Glossary To Augment
Kimberly-Clark Health Care Glossary To Augment

... mast cell surfaces. Mast cell mediators affect more than one organ. Subsequent flow of fluid from the circulatory system as a result of mast cell histamine release can have a local manifestation of hives, or local swelling and rednesss or a sudden blood pressure drop and rapid heart rate with possib ...
Document
Document

... nursing staff did not administer any medication as they assumed the previous day’s non-administration (according to the chart) was deliberate and should continue”. If unsure, get clarification – don’t rely on or copy what a nurse did before you – you are responsible ! ...
New Antidotes in Toxicology
New Antidotes in Toxicology

... - 17% rate of anaphylatoid reaction of which 1% serve: this include rash, flushing, vomiting, and bronchospasm , hypotension and death – these reactions are dose and concentration depended - Higher risk of dosing errors - Risk of infusion large volume of free water to pediatric patients if standard ...
Managing Pharmaceuticals to Reduce Medication Errors
Managing Pharmaceuticals to Reduce Medication Errors

... lymphoma to a medical unit. At home, the patient had been taking hydromorphone (DILAUDID) 2 to 4 mg orally for pain. The covering physician prescribed the same medication, but also wrote an order for hydromorphone 2 to 4 mg IV every 3 hours for pain if the patient was unable to tolerate oral fluids. ...
To receive labeled medications safely without discomfort in
To receive labeled medications safely without discomfort in

... Can be used when oral medications are contraindicated More rapid absorption than with topical or oral routes Intravenous (IV) infusion provides medication delivery when patient is critically ill or long-term therapy is necessary; if peripheral perfusion is poor, IV route preferred over injections ...
Moderate-to-high intensity statin
Moderate-to-high intensity statin

... • Significant departure from previous editions • Discrepancies between experts • Evidence-based, but unanswered questions ...
NH3 N]ammonia
NH3 N]ammonia

... • Administer 10-20 mCi (370 – 740 MBq) as a bolus through a catheter inserted into a large peripheral vein. • Start imaging 3 minutes after the injection and acquire images for a total of 10-20 minutes. Stress Imaging Study: • If a rest imaging study is performed, begin the stress imaging study 40 m ...
TYPE 2 DIABETES MELLITUS: EXISTING DISEASE
TYPE 2 DIABETES MELLITUS: EXISTING DISEASE

... muscle and adipose tissue.6 This regimen may improve glycemic control through improved glucose utilization without increasing (and by possibly decreasing) insulin requirements. However, these medications are costly and require intensive monitoring of liver enzymes prior to and during therapy. Thiazo ...
Hypothermia
Hypothermia

... organs, and a phenomenon known as “afterdrop” may occur. This is where the core body temperature continues to decline after the patient has been removed from the cold environment. ••Rapid volume expansion with warm (104 to 106°F) IV fluids is crucial for volume replacement and rewarming. Because the ...
the neonatal survival guide
the neonatal survival guide

... • Impending trouble from L&D especially VLBW or multiple gestation • Deaths/ Impending Deaths/ All “Codes” • Change in Status - especially if unexpected • If you need help, are getting overwhelmed, or “politics” are interfering Charting • Daily Notes – preprinted progress note templates will be prov ...
Accepted but Unacceptable: Peripheral IV Catheter Failure
Accepted but Unacceptable: Peripheral IV Catheter Failure

... for more than 350 years, and it has played a central role in patient care since the first plastic IV catheters were introduced more than 70 years ago by Zimmermann, Meyers, and Massa.1-6 Necessary for the direct administration of fluids and medications into the bloodstream, IV catheter placement rem ...
Cancer Chemotherapy and Pharmacology: Answers
Cancer Chemotherapy and Pharmacology: Answers

... c. Monitor red blood cell thioguanine nucleotides (TGNs) to avoid toxic ...
Differential Diagnosis of Lymphedema
Differential Diagnosis of Lymphedema

... • Lymphedema praecox, another term for the 2 syndromes described above, has an early onset up to age 35 years (10,11). • Lymphedema tardum is similar to praecox, but has an onset after age 35 years (10,11). • Lymphangiomas are congenital, benign, often cystic malformations of the lymphatics and may ...
Intraosseous Vascular Access for Alert Patients
Intraosseous Vascular Access for Alert Patients

... ED nurses are frequently confronted with the difficult situation of dehydrated pediatric patients or patients of any age with veins that are difficult to visualize. IV access can be complex when the patient is in any state of shock. How long is it acceptable to wait for the best IV nurse or technici ...
Elinogrel, an orally and intravenously available ADP
Elinogrel, an orally and intravenously available ADP

... mg and 150 mg twice daily arms, respectively. Most cases occurred within the first 60 days, none involved serious hepatotoxicity, and all resolved even though treatment was continued (7, 8). The data show that elinogrel might provide additional platelet inhibition on top of standard dual antiplatele ...
Asthma and COPD Prescriber Questions August
Asthma and COPD Prescriber Questions August

... Supplement with long acting bronchodilators. What additional medications may be needed for COPD? Maximum bronchodilation may require a combination of LABA and anticholinergic medications What medications are used in acute exacerbations of COPD? A combination of SABA and Ipratropium Theophylline may ...
Description  of  the  Guidelines  of ... travenous Antimicrobial Medication  Administra- tion
Description of the Guidelines of ... travenous Antimicrobial Medication Administra- tion

... The purpose of this final project was to describe the guidelines for peripheral intravenous administration of antimicrobial medication. A review of literature published between January 2004 and December 2014 in electronic databases (PubMed, Medline, CINAHL and Cochrane) was carried out and the princ ...
Superficial venous disorders of the lower limb
Superficial venous disorders of the lower limb

... It has been demonstrated that detectable amounts of foam micro-bubbles can reach the heart, lungs and brain during leg vein treatment. There is no evidence that this has long-term detrimental effects in most patients. Transient effects such as headaches, visual disturbances and coughing may occur. R ...
SIMDAX
SIMDAX

... dosing regimens are recommended for these patients. Physicians should tailor the dose and duration of therapy to the condition and response of the patient (see sections 4.2, 4.5 and 5.1). Severe hypovolaemia should be corrected prior to levosimendan infusion. If excessive changes in blood pressure o ...
FULL TEXT - OnCOReview
FULL TEXT - OnCOReview

... 9. Pappas L, Shamberger RC, Seefelder C. Giant, dopamine secreting thoracoabdominal neuroblastoma in a 2-year-old: rapid preoperative blockade with labetalol. J Pediatr Hematol Oncol 2010; 32(2): 163-166. 10. Thomas CA, Moffett BS, Wagner JL et al. Safety and efficacy of intravenous labetalol fo ...
Guidelines for the Management of Severe Traumatic Brain Injury
Guidelines for the Management of Severe Traumatic Brain Injury

... monitoring (use CPP after monitoring begins). c. Maintain PaCO2 35-40 mmHg if CT is normal i. In Cochabamba, correct for altitude and maintain PaCO2 32-36 mmHg. d. If a space-occupying lesion exists, surgical evacuation is indicated if possible 7. Specific therapeutic interventions-ICP Monitor with ...
Proposed Treatment Guidelines for Donor Care
Proposed Treatment Guidelines for Donor Care

... Recent articles1-7 in Progress in Transplantation have outlined treatment issues during care of adult brain dead organ donors prior to organ removal. In general, it has been assumed that maintaining hemodynamic variables and laboratory parameters within normal ranges is the preferred goal. Although ...
Spasticity Management
Spasticity Management

... 2. (1+) Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the reminder (less than half) of the ROM (range of movement). 3. (2) More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved. 4. (3) Considerable increase i ...
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Intravenous therapy



Intravenous therapy (IV therapy or iv therapy in short) is the infusion of liquid substances directly into a vein. Intravenous simply means ""within vein"". Therapies administered intravenously are often called specialty pharmaceuticals. It is commonly referred to as a drip because many systems of administration employ a drip chamber, which prevents air from entering the blood stream (air embolism), and allows an estimation of flow rate.Intravenous therapy may be used to correct electrolyte imbalances, to deliver medications, for blood transfusion or as fluid replacement to correct, for example, dehydration. Intravenous therapy can also be used for chemotherapy.Compared with other routes of administration, the intravenous route is the fastest way to deliver fluids and medications throughout the body. The bioavailability of the medication is 100% in IV therapy.
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