{"title":"Use and morbidity of venous access devices in patients with hemophilia.","authors":"S Geraghty, D Kleinert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To obtain information on venous access devices (VADs) used for the treatment of patients with hemophilia and infections associated with the use of VADs, a questionnaire was sent to 153 hemophilia treatment centers in the United States and Puerto Rico. Information regarding the treatment of 10,421 patients and 568 VADs was obtained. Infections were reported with 159 (45%) of 353 internal devices and 126 (71%) of 178 external devices. These results indicate that VADs used for the treatment of hemophilia are associated with significantly higher infection rates than are those used in oncology or mixed patient populations.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 2","pages":"70-5"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20521334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of intravenous solutions on fluid and electrolyte balance.","authors":"R S Klotz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To maximize the benefit and minimize the adverse effects of fluid and electrolyte therapy, it is critical for clinicians involved to be knowledgeable about the use of parenteral fluids as maintenance therapy, replacement therapy, or as a vehicle for drug administration. All clinicians involved in the administration of parenteral therapy must understand the physiologic processes that regulate fluid and electrolyte balance, the proper dosing of these nutrients, and the fluids used to manage patients' fluid and electrolyte balance. The role of i.v. solutions in fluid and electrolyte balance is reviewed, and the value of the i.v. nurse specialist as a member of the interdisciplinary team that safely and effectively administers fluid and electrolyte therapy is highlighted.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 1","pages":"20-6"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20439927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Considerations in the use of lipid-based drug products.","authors":"G C Wood, R O Brown, R N Dickerson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The availability and use of intravenous lipid-based drug products is increasing. These products may have increased efficacy, decreased adverse effects, or both when compared with conventional formulations of the same drug. Lipid-based drug products have nutrition support implications when a substantial caloric dose is received during administration of the drug. They also may have unique toxicities and much greater costs than do traditional therapies. The rationale for the use of lipid-based drug products is presented, along with an overview of the proper use of current commercially available lipid-based amphotericin B, propofol, daunorubicin, and doxorubicin products.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 1","pages":"45-9"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20439930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intravenous nursing. Standards of practice. Intravenous Nurses Society.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 1 Suppl","pages":"S1-91"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20439932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Antibiotic and anti-infective agent use and administration in homecare.","authors":"D J Barrio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Homecare administration of intravenous antibiotics and anti-infectives is a rapidly growing service of the healthcare system. Knowledge of disease states that are amenable to homecare intravenous antibiotics includes those of long-term duration or deep-seated infections not suitable for oral therapy. Consideration of patient populations that are identified as appropriate for homecare intravenous antibiotic therapy includes the very young and old patients, pregnant patients, and patients with HIV. Awareness of a patient's medication history relating to allergic reactions allows guided monitoring before, during, and after intravenous antibiotic administration. Recognition of potential adverse drug reactions associated with each class of anti-infectives, as well as those related to the dose or infusion process, is another important part of safe and effective intravenous antibiotic administration.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 1","pages":"50-8"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20439931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of the patient with sickle cell disease.","authors":"M Rausch, D Pollard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sickle cell disease is a group of genetic disorders of hemoglobin synthesis, of which sickle cell anemia is the most severe. In the United States, sickle cell disease primarily affects persons of African-American and Hispanic origin. An estimated 50,000 Americans have the disease, and approximately 2.5 million persons carry the sickle cell trait. The primary pathophysiologic features are chronic hemolysis and vaso-occlusion. This disease is recurrent and unpredictable, causing considerable physiologic and psychologic stress. This article provides an overview of the disease and addresses the role of the infusion nurse in the care and support of the patient with sickle cell disease in the hospital and home setting.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 1","pages":"27-40"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20439928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparison of flow rates between Baxter Continu-Flo and Baxter InterLink Continu-Flo.","authors":"S R Savino, T Eberhart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Drip chamber size on intravenous administration sets varies. The practitioner may select a minidrip intravenous administration set to administer low flow rate IVs or medications. Baxter's InterLink Continu-Flo is available in minidrip size without restrictive tubing. The purpose of this study was to determine how much faster the nonrestrictive InterLink tubing would deliver i.v. fluid than would the Baxter Continu-Flo set with its minidrip chamber and restrictive tubing.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 1","pages":"41-4"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20439929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intravenous conscious sedation. Physiologic, pharmacologic, and legal implications for nurses.","authors":"L L Yaney","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurses with proper additional training can safely assist in the care of patients receiving intravenous conscious sedation for a variety of procedures. Sedation exists along a continuum, with subtle differences between lighter and deeper levels of sedation. The primary goal of conscious sedation is to achieve a minimally sedated patient with intact protective airway reflexes. Pharmacologic agents may provide anxiolysis, amnesia, sedation, or analgesia. Legal considerations, policy development, and educational requirements for nurses choosing to practice in this expanded role are examined.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 1","pages":"9-19"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20439926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An overview of litigation concerning needlestick injuries in defective design and negligent use of equipment cases.","authors":"B G Grimes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Needlestick injury litigation has occurred in several settings, but in recent years, the primary basis for lawsuits involves the transmission of deadly diseases or the fear of acquiring those diseases. These cases may be divided into situations that concern defective product designs and situations where there has been negligent use of or disposal of the needles. This article provides exemplary cases that discuss both the law and factual issues surrounding needlestick injuries.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"20 6 Suppl","pages":"S40-4"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Injuries from vascular access devices: high risk and preventable. Collaborative EPINet Surveillance Group.","authors":"J Jagger, M B Bentley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intravenous catheter stylets are the number one cause of needlesticks from blood-filled needles, the type of injury that is most likely to transmit bloodborne pathogens. The Exposure Prevention Information Network (EPINet, a trademark of the University of Virginia) database provides information on the characteristics of injuries from i.v. catheter stylets and on the effectiveness of safety i.v. catheters designed to prevent injuries. EPINet data show that nurses sustained three fourths of these injuries, and that injury rates declined by 84% after the introduction of a safety i.v. catheter in three study hospitals. In order to reduce the risk of bloodborne pathogen transmission to healthcare workers, especially nurses, the widespread implementation of i.v. catheters designed to prevent needlesticks should be undertaken as quickly as possible.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"20 6 Suppl","pages":"S33-9"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20353046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}