Infusion Nursing Notes by Nufactor provides education, resources and support to promote successful patient therapy within the infusion nursing community.

Troubleshooting Implanted Ports

23. March 2023 Candy Finley & Marianna Herrera Infusion Basics, Nursing Support (0)
As a health care provider in the home setting, coming across various types of venous access devices is expected. Access devices can vary from peripherally inserted catheters for short-term or intermittently administered therapies, such as IVIG or infliximab, to centrally placed devices for long-term use, especially if there are venous access problems. A physician and patient should discuss and decide on the most appropriate venous access device while considering the duration of therapy, lifestyle, and history of venous access issues. Nurses are expected to maintain various types of central venous access devices (CVADs), such as peripherally inserted central catheters (PICCs), central venous catheters (CVCs) such as Hickman™ and Broviac™ catheters, and implanted ports. Patients may already have a CVAD when admitted for home infusion therapy services or require placement after admission if they have poor or inaccessible venous access and the need for long-term therapy. This blog will focus on handling and troubleshooting ports. [More]

Gratitude

16. December 2022 Candy Finley Nursing Support (0)
Let’s start by taking a couple of deep breaths, inhale through your nose and slowly exhale out through your mouth (smell the flowers and blow out the candles is how I like to say it). Starting your day with a few minutes of prayer or meditation helps you to be intentional. Let’s begin! [More]

Disease States: Primary Immune Deficiency Diseases (PIDDs)

9. September 2022 Jean McCaslin Disease States, Nursing Support (0)
There are greater than 400 forms of Primary Immune Deficiency Diseases (PIDDs) recognized by the International Union of Immunological Societies.1 These rare genetic diseases are chronic, at times debilitating, and often costly per the National Institute of Health (NIH).1 PIDDs are also known as Inborn Errors of Immunity (IEI). These can affect anyone regardless of gender, age, or ethnicity. They share a common thread; part of the immune system is missing or not functioning properly. This leads to the hallmark of increased susceptibility to infection; it could involve the sinuses, lungs, skin, ears, throat, spinal cord, brain, urinary tract or intestinal tracts. Physical exam may also identify signs of a PIDD including enlargement of lymph nodes, the liver or spleen. For some, inflammatory bowel disease, autoimmune symptoms or blood vessel inflammation could indicate a PIDD. [More]

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]

Management of SCIG Side effects

3. June 2022 Nufactor Administrator Infusion Basics, IVIG Essentials, Nursing Support (0)
The greatest advantage of subcutaneous immunoglobulin (SCIG) is that it provides the patient with autonomy, which helps them feel empowered to live a normal life. Nurses are responsible for teaching patients how to manage the expected side effects. Most patients do not require premeds; if they are ordered, advise your patient to be compliant with them. Always ensure the anaphylaxis kit is readily available for each infusion regardless of past tolerability. It should consist of a double pack epinephrine autoinjector and oral Benadryl. Please instruct the patient how to use it properly before leaving their home. [More]

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