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Can I hear from Home Infusion folks...anyone
doing this in the home? My pharmacists are saying it shouldn't be done in
the home....
I know putting it on a pump makes a greater
expense, unless it is a syringe pump. And the nurse would have to make 2
visits, which only one would be paid for. if that. The pharmacists
say the patient should just come to the hospital and have it done in OP.
Unfortunately, the hospital doesn't have the policy. I suppose 'you know
who' could write one, but then it goes thru 1 million committees before allowed
to do it!
HELP!!
a/
Ann Williams RN CRNI
Infusion Specialist
Deaconess Home Services
600 Mary St.
Evansville, IN 47747
812-450-3828
812-450-4665 FAX
We do this off and on for fibrin sheaths on
ports, sometimes PICCs too. I can't remember the dose but it's pretty small, in
50ml of saline (both lumens if dual) over 3 hrs.
This is done in the renal unit quite often
of hemo-lines that fibrin sheath and don't give adequate blood back
.
So, intralumen if the problem is there and
infusion if fluro has shown a fibrin sheath. Gail
I would like to hear more about the infusion of
Activase. ( is that what you are using?) Is that use
approved? What would make you select that instead of instillation and
sit?
Thanks in advance,
Gina Ward
From: [EMAIL PROTECTED] on behalf of
Monica Sorg
Sent: Mon 3/20/2006 1:01 PM
To:
[EMAIL PROTECTED]
Subject: Are you doing an instillation or an
infusion of tpa? An infusion seems to work best for us for
PWO.
Are you doing an instillation or an infusion of tpa? An infusion
seems to work best for us for PWO...2 mg in 50 ml saline infused over 3
hours. Also, are you using a positive pressure cap? That should
help as well. Is it being flushed often enough with enough saline.
We use 20 ml saline using the push pause method q 8 hrs. Just a few
ideas to consider.
Monica Sorg, RN CRNI
Infusion Nurse Specialist
University of
Louisville Hospital
Louisville, KY
>>> "Ann Williams" <[EMAIL PROTECTED]> 3/20/2006
11:35 AM >>>
Hi folks!
We have a pt that has been requiring frequent
declotting for PWO. She was declotted successfully 2/20, 3/13 and now
requiring it again. She is being treated for an abscess in the spinal
area and septicemia and has been on Vanco q12h since 2/10, and this past
Friday (3/18) got switched to Merrem q8 and Zyvox q12. She is 43yo and a
compliant patient. (YES there are some out there!!) When we have
PWO on one lumen, we Activase both lumens. We flush with 10ml NaCl
before and after each dose.
Does anyone have any suggestions for a pt
requiring such frequent Activase? Is there something we are
overlooking?
Thanks!
ann
Ann Williams
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