pediatric clinical educator

  1. i am interested in creating a policy about Intravenous (IV) immunoglobulin administration in pediatrics as well as having preprinted order sheet for IV immunoglobulin administration in pediatrics. so i would like to know if u can share with me ur experience or to help me searching for sites regarding these issues. in addition, i would like to know if pediatric patients who are receiving IV immunoglobulin should be attached to a cardiopulmonary monitor. if yes , what is the rationale behind it? moreover, i would like to know your policies regarding measuring vital signs if the child is receiving IV immunoglobulin for the first time and what would be the policy for measuring vital signs also if the child is receiving subsequent doses of Intravenous immunoglobulin.
    Thank you in advance.
    roro.
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  2. 3 Comments

  3. by   VickyRN
    Quote from Roro
    i am interested in creating a policy about Intravenous (IV) immunoglobulin administration in pediatrics as well as having preprinted order sheet for IV immunoglobulin administration in pediatrics. so i would like to know if u can share with me ur experience or to help me searching for sites regarding these issues. in addition, i would like to know if pediatric patients who are receiving IV immunoglobulin should be attached to a cardiopulmonary monitor. if yes , what is the rationale behind it? moreover, i would like to know your policies regarding measuring vital signs if the child is receiving IV immunoglobulin for the first time and what would be the policy for measuring vital signs also if the child is receiving subsequent doses of Intravenous immunoglobulin.
    Thank you in advance.
    roro.
    Welcome to our forum, Roro I have no personal knowledge or experience in intravenous immunoglobulin administration, but here are a few sources or links which may help you in your search:

    Murphy, E, et al. Developing Practice Guidelines for the Administration of Intravenous Immunoglobulin. Journal of Infusion Nursing, Vol. 28, No. 4, July/August 2005.

    Infusion nurses examine need for standards of practice in immunoglobulin therapy
    http://www.medicalnewstoday.com/medi...p?newsid=29073

    http://www.regence.com/trgmedpol/drugs/dru020.pdf

    http://www.riverbendgba.com/vlmrp/081-01.html

    http://www.shot.demon.co.uk/shot%20report%201997-98.htm

    Hope this helps
  4. by   Roro
    Thank you Vicky for the links and the sources you provided.
  5. by   ProfRN4
    Quote from roro
    in addition, i would like to know if pediatric patients who are receiving iv immunoglobulin should be attached to a cardiopulmonary monitor. if yes , what is the rationale behind it? moreover, i would like to know your policies regarding measuring vital signs if the child is receiving iv immunoglobulin for the first time and what would be the policy for measuring vital signs also if the child is receiving subsequent doses of intravenous immunoglobulin.
    thank you in advance.
    roro.
    [font="comic sans ms"]i work in two institutions where i've given ivig. completely different protocols. neither one require a cardiac monitor. one place does vitals like every 15 minutes, even on kids who have had it before. the other place is kind of up in the air. also the titration varies. the first place runs it painfully slow, where the other runs it over 4-6 hrs. i have not given tons of ivig, but the worst i've ever seen is a little babies bp go up (not dangerously) because i messed up the rate (went in a little too quickly ). i slowed it down, and fortunately it ended up resolving itself within a couple of hours.

    you can try checking out the apon (association of pediatric oncology nurses)website. they have a discussion board where there are more staff educators who may have the policies

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