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Parenterals Final > Home Infusion Therapy > Flashcards

Home Infusion Therapy Flashcards

1
Q

Accreditation does whatttt?

A

Provides patients, referral sources and payers the assurance that the pharmacy meets a basic level of quality in patient care

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2
Q

Accrediting bodies include:

A 
Joint commission
CHAP
PCAB
HQAA
ACHC
Medicare
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3
Q

Advantages of Home Infusions

A

Patient convenience
Decreased exposure to nosocomial pathogens
Decreased acute care costs
Improved quality of life

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4
Q

Disadvantages of Home Infusion

A

Difficult to obtain reimbursemetn for some service or pts (immune globulin, economically disadvantaged patients, uninsured pts)

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5
Q

Adverse effects with Home Infusion

A

Infections
Thrombosis
Physical limitations

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6
Q

CVADs is a

A

Catheter with tip placed in the superior vena cava

- Allows for intermittent connection to IV tubing for infusing solutions or withdrawing blood

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7
Q

CVADs are preferable in:

A

outpatient settings
- Rapid hemodilution of infusate
Less venous irritation
May be used for long periods of time without complications

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8
Q

Peripherally Inserted Central Catheter Placement

A

Inserted in a peripheral vein in the antecubital fossa

Threaded into the SVC

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9
Q

Peripherally Inserted Central Catheter Uses

A

Long-term infusion therapy

Blood collections

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10
Q

Patient considerations

A

Suitable for patients requiring daily infusions

Not recommended for those with traumatized antecubital spaces or history of failed cannulation attempts

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11
Q

Peripherally Inserted Central Catheter Advantages

A

Operating room not required for insertion/removal
Painless access
Minimal scarring

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12
Q

Peripherally Inserted Central Catheter Disadvantage

A

Weekly dressing changes
Limited upper extremity movement
Thrombosis risk

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13
Q

Tunneled Catheter Placement

A

Inserted SQ and tunneled between the vein insertion site and the skin exit site
Tip is usually advanced into the SVC

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14
Q

Tunneled Catheter Uses

A

Long-term infusion therapy

Blood collection

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15
Q

Hickman catheter:

A

Larger catheter lumen, preferred for adults

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16
Q

Broviac catheter:

A

Single-lumen, preferred for pediatric patients

17
Q

Tunneled Catheters Advantages

A

Does not require dressings
Single or multiple lumen options
Not as restrictive as PICC lines

18
Q

Tunneled Catheters Disadvantages

A

Surgical placement and removal
Administration sets and add-on devices
Scar tissues formation around catheter

19
Q

Port Placement

A

Completely implanted beneath the skin

Portal body connected to think tube which is inserted into a vein

20
Q

Port Use

A

Long-term cyclic infusions and/or blood specimens

Reservoir option: slowly releases meds into the bloodstream

21
Q

Port Patient considerations

A

May be placed either in the chest or arm

External parts not exposed when port is not in us

22
Q

Port advantages

A

Least physically restrictive of CVADs
Not visible externally or under the skin
Minimal site care required

23
Q

Port disadvantages

A

Needle insertion each time port is accessed
Surgical placement and removal
Skin breakdown/scar formation

24
Q

Elastomeric Infusion Device

A

Portable infusion ball which can be carried in patient’s pockets
“Eclipise”
- Outpt Abx Infusion Device

25
Q

Vista Basic Pump and Acclaim Infusion Pump

A

Stationary infusion device attached to a pole for non-ambulatory pts or large volumes of administration
- Outpt Abx Infusion Device

26
Q

Cadd Infusion Pump

A

Ambulatory lightweight pump

- Outpt Abx Infusion Device

27
Q

Eclipse Advantages

A 
Range of sizes
Minimal nursing labor
No programming errors
Ideal for pt mobility
Easy administration and disposal
28
Q

Eclipse Disadvantages

A

Expensive
Not covered by all third party payers
Variable stability

29
Q

Compounding with the Eclipse

A 
Leur-lock, needleless system
Unclamp and remove the cap from the fill port
Add diluent first and drug volume second
Replace cap
Re-clamp and label
30
Q

Patient Instructions for Eclipse

A

Must allow the pump to warm to room temperature
Do NOT microwave
May put in sunlight or warm water

Parenterals Final (7 decks)

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