Large Volume IV Solution Shortages

It just doesn’t seem right that the national crisis with “drug shortages” would include  large volume (1000mL) IV solutions we commonly administer to our patients: 0.9% Sodium Chloride Injection 0.45% Sodium Chloride Injection Lactated Ringer’s Injection 5% Dextrose Injection   But the reality is there is a shortage, IV saline solution, in particular is on…

Cheaper at the Doctor’s Office

I came across this interesting article on a study that shows chemo costs less in doctor’s offices. Chemotherapy Treatment in Hospitals Costs 24% more than Treatment in Physician’s Offices The study found that care for patients treated in a physician’s office is less expensive regardless of the length of the chemotherapy duration. The average chemotherapy…

Infusions of Monoclonal Antibodies in New York State

In the past 12 years, we have seen an increase in new monoclonal antibodies approved by the FDA for numerous indications as treatment options for cancer, neurologic disorders, immunologic,  and autoimmune diseases, to name a few. These monoclonal antibodies are administered either subcutaneously, usually self administered by patients or administered intravenously by a registered nurse…

Intentional Infusions during Pregnancy

As an infusion nurse, I have given infusions to pregnant patients only for the treatment of  hyperemesis gravidarum. The infusions were primarily liters of IV fluids with multivitamins or a modified version of total parenteral nutrition just enough to tide them over until most patients are able to eat and sustain adequate nutrition orally. Otherwise,…

Can vs. Should

What am I talking about? I am referring to a very difficult and controversial topic in infusion therapy, the use of  medical assistants  (MA) in peripheral intravenous insertion and administration (infusion) of medications. Before I continue,  I would like to disclose that I have nothing against medical assistants and this discussion does not include nursing …

One Bag or Two Bags?

During my training classes on biologic infusions, one of the frequently asked questions is…do you use one bag or two bags when you infuse a biologic agent? 2 bags: After an IV access is established, most nurses directly connect  a primed IV tubing (usually with Normal Saline) to the IV catheter. This is considered the…