Ditto and Ditto agaiin!!!!!!!  Reasonable, Prudent actions by a nurse include 
using his/her brain!
 
Sandra L. Schwaner MSN, RN, ACNP
P.O. Box 800377
Angiography/ Interventional Radiology
University of Vriginia
Office: 434-924-9401 - 434-243-7081
Fax: 434-982-6468
Pager # 6180

________________________________

From: [EMAIL PROTECTED] on behalf of Heather Nichols
Sent: Sat 8/26/2006 7:52 AM
To: Lynn Hadaway; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: [vascular] ammonul extravasation


Lynn,
  You stay on your soap box as long as you like when it comes to this issue.  I 
feel like it is not preached on half enough.  Sometimes I think that if the doc 
wrote an order to jump off the second street bridge, there would be nurses down 
there doing it.
 
Heather Nichols RN BSN CRNI 
Infusion Services
University of Louisville Trauma Institute
530 S. Jackson St.
Lou. Ky. 40202
(502)562-3530

>>> "Lynn Hadaway" <[EMAIL PROTECTED]> 8/20/2006 3:44 PM >>>

I am working on my infiltration and extravasation presentation for AVA and 
received your message.

I found this drug online but it must be very new as it is not in the 2006 
edition of Intravenous Medications. Here is the statement on the home page 
online http://www.ammonul.com/:


        Administration must be through a central line; use of a peripheral line 
may cause burns. Do not administer undilluted product.


I could not find the pH or osmolarity in the prescribing information, but the 
above sentence is in bold letters. Based on the other information, I would 
strongly recommend a surgical consultation immediately.

The treatment would depend upon the total volume of the infiltrated solution 
and the osmolarity of it. If this is hyper-osmolar do NOT use heat as this will 
exacerbate the problem. Use cold instead and the prescribing information 
recommends cold. If this drug is a vesicant or if the volume is great enough to 
compromise the neurorvascular function of the extremity, a surgical 
consultation is needed sooner rather than later as a decompression and 
fasciotomy with a washout procedure could prevent further damage. This usually 
leaves a large scar though but better than a necrotic ulcer.

As far as antidotes, I have not seen this drug listed in any of my research.

Yes, a nurse can refuse to follow a physician's order if he/she has information 
or knows that this order is not appropriate. With the drug information I found 
in about 5 seconds, I would have called the physician and discussed it. If 
there was no change in the order, I would have informed him that I was going to 
speak with others and then followed the hospital chain of command for a 
decision. It is not only the nurses right to refuse to follow a known dangerous 
order, it is our responsibility. I previously taught every nurse I oriented 
that they needed to follow through on every question with supervisors, pharmacy 
information, risk management, etc. and make sure they were correct in their 
assessment and that the chain of command supported them. I have seen this 
process work in numerous situations.

It is time for nurses to accept the accountability for infusion therapy if they 
are going to be responsible for delivery. If they are unwilling to accept 
accountability, then they do not need to be performing infusion therapy! We 
must use a high level of critical thinking and not just blindly follow orders.

Sorry, I will get off my soap box now! Lynn

At 11:44 AM -0700 8/20/06, Anna Liang wrote:

        would like to know if your facility have a standard
        protocol for ammonul administration.
        
        this is another example that I would like to beat my
        head (or somebody else's) on the wall.
        
        I don't understand why the team didn't order a picc --
        maybe because they didn't make the decision/diagnosis
        to start the med until Friday afternoon. and it was
        too late to attempt a picc (not enough time of NPO for
        sedation for that 2 y.o.).
        maybe they think a picc procedure is invasive?
        or maybe they think, ' oh, there only gonna be 3
        doses.'
        
        I don't think anybody talked to parents that ammonul
        extravasation can lead to necrosis.
        the drug reference says ammonul should be given
        through central line. but there is another line: if
        given through peripheral IV, dilute the med.
        
        can nurses refuse to give it through piv????
        
        
        
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-- 
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861


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