Infusion Nursing Notes Blog | All posts tagged 'IVIG'

Managing IVIG-Related Side Effects

5. August 2022 Jean McCaslin Infusion Basics, IVIG Essentials, Nursing Support (0)

Intravenous Immune Globulin (IVIG) infusions are generally well tolerated. Most associated side effects are mild and managed with multiple approaches which may include pre-medication, clinical consultation providing education on what to expect with infusion, ongoing monitoring of infusions, and modifications to the individualized patient infusion protocol if side effects occur. [More]

Pre-infusion Tips and Tricks for IVIG and SCIG Infusions

27. May 2022 Nufactor Administrator Infusion Basics, IVIG Essentials (0)

Pre-infusion Tips and Tricks for IVIG and SCIG Infusions by Nufactor - May 27, 2022 [More]

Intravenous Immune Globulin & Adverse Drug Reaction (ADRs) Management: PART 1: Boxed Warnings & Serious ADRs

16. July 2019 Joseph DiStefano Infusion Basics, IVIG Essentials (0)

PART 1: Intravenous immune globulin (IVIG) is safe and effective treatment for a variety of medical conditions. Overall IVIG is well-tolerated in most patients. However, it is not without adverse drug reactions (ADRs), ranging from mild to severe. [More]

How to Pool Medications into a Pooling Bag

10. April 2018 Candy Finley & Joseph DiStefano Infusion Basics, IVIG Essentials (0)

By Candy Finley, RN, IgCN and Joe DiStefano, RPh

Pooling is the process of transferring the total dose of drug plus overfill into an empty IV bag ("pooling bag"). Although NuFACTOR prefers administering IVIG by spiking vials one at a time sequentially or adding drug directly into a bag of diluent (e.g., infliximab/Remicade®), there are some times when pooling is appropriate. These include lyophilized powder IVIG requiring reconstitution (e.g., Gammagard® SD and Carimmune®), HyQvia® (IG component only) and infliximab doses greater than 1000 mg. The process of pooling medications into a specially designed pooling bag is a relatively simple process. [More]

Lyophilized Powder IVIG: Dilution, Reconstitution, and Pooling

15. February 2017 Derrek Blake Infusion Basics, IVIG Essentials (0)

By Derrek Blake, RN, IgCN, and Joe DiStefano, RPh.

Intravenous immune globulin (IVIG) is available as either a liquid or lyophilized (freeze-dried) powder. Initially only powder products were available, requiring reconstitution before administration. Over time, manufacturers changed their manufacturing process to achieve stability of the IgG molecules in a suspended or liquid state. By doing so, the task of reconstitution has been eliminated, making the powder products relatively obsolete. Depending on the brand, IVIG liquid is available in 5% and 10% concentrations. Depending on the brand, IVIG powder is reconstituted to yield a concentration between 3% and 12%. [More]

Part Two of Two. Central Catheters used for IVIG: Care and Complications of PICC lines and Port-a-Caths

31. January 2017 Jean McCaslin Infusion Basics, IVIG Essentials (0)

By Jean McCaslin, RN, IgCN.

In our last blog, the types of central catheters typically used for the infusion of IVIG were discussed. Also reviewed, was the assessment of these ports as it relates to IVIG therapy. In this blog, the care of central lines (herein called VADs; Vascular Access Devices) and potential complications will be covered. This discussion will be limited to the intermittent use of VADs for IVIG therapy being given between 1-5 days monthly. For more detailed information regarding continuous VAD use, or the administration of other medications, please refer to the INS standards published on their website. [More]

Part One of Two. Types of Central Catheters used for IVIG, Assessment, Care, and Complications

5. October 2016 Derrek Blake Infusion Basics, IVIG Essentials (0)

By Derrek Blake, RN, IgCN.

It is essential all nurses know how to properly evaluate, access, and provide proficient central line care. NuFactor provides IVIG therapy to patients in the home and while the majority of these patients receive IVIG via a peripheral IV, there are some patients who receive IVIG via a PICC line or an implanted port (such as Port-a-Cath brand). We as nurses must be competent and comfortable providing care to these patients with a central catheter. While central catheters can be slightly confusing to a nurse who may only see one central catheter a year, this post will help you understand the differences between central catheters used and how to provide the proper care for each. [More]

Pre-Medications Use, Side Effect Management & Intravenous Immune Globulin

23. March 2016 Joseph DiStefano IVIG Essentials (3)

By Joe DiStefano, RPh.

Intravenous immune globulin (IVIG) preparations are safe and effective treatments for a variety of medical conditions. Serious, but uncommon reactions occur, and include thromboembolic events, (e.g., pulmonary embolism, deep vein thrombosis, myocardial infarction, transient ischemic attack), renal dysfunction and acute renal failure. Mild to moderate side effects that occur during or after IVIG treatment are more common. These may include: headache, flushing, chills, myalgia, fatigue, low grade fever, changes in blood pressure and lower back pain. While many common side effects may be controlled by decreasing the IVIG infusion rate, administering physician-prescribed pre-medications can [More]

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