LEGAL NOTICE TO THE FOLLOWING ALLNURSES SUBSCRIBERS: Pixie.RN, JustBeachyNurse, monkeyhq, duskyjewel, and LadyFree28. An Order has been issued by the United States District Court for the District of Minnesota that affects you in the case EAST COAST TEST PREP LLC v. ALLNURSES.COM, INC. Click here for more information
Have administered IVIG in pts homes many times.
IVIG=IV immune globulin
Start the infusion very slow 1/4 of desired hourly rate for first fifteen minutes. Check BP. If asymptomatic, increase by 1/4 for next fifteen minutes. Over next half hour if VS stable continue to increase rate every 5-10 minutes till ordered hourly rate acheived. If problems develop, slow drip or stop depending on side effects. I also titrate infusion down slowly over last 45 minutes.
Keep anaphylaxis kit with you. Be aware of potential side effects and have standing orders to treat.
Some patients can't tolerate recomended rate but do ok at 1/2 rate. Call prescribing MD immediately if problems develop.
Hi. I've never administered this med before, but in home health we deal with infusions sometimes that need close monitoring such as dopamine or TPN or certain antibiotics and antifungals. I've even heard that blood has been given in the home before.
I agree with NRSKaren, that you need to have an anaphylatic kit close by. Jeanie when you say you are doing the IVIG oupatient, is that in a hospital ambulatory care setting, a free standing setting, or a physician's office? You probably also want to have close access to a crash cart with these infusions. Best wishes.