Part 1
...Part 2
And there you have it!
Now in about a month, I will be doubling the dose of this medication, Ceftriaxone, and also adding another IV med, Zithromax. And soon I will start getting a liter of fluids a day.
Also, I will continue to go get my nutritional IVs each week.
Testing testing....I'm just trying to figure out why everybody says they can't post comments.
ReplyDelete^^^ thank you! i just came to see if i could figure it out. i didn't think it could be so hard but apparently everyone thinks so. :S
ReplyDeleteHoly Moly.... Ok watched the infusion videos and I just cant believe all you have to do to set up your meds, wow there has GOT to be an easier way I cant imagine especially when you start herxing having to get all that in order.... I know mind all come in iv bags with maybe a bottle attached or something small but have never had to do all that for antibiotics, only nutritional ivs.... WOW!
ReplyDeleteYea I actually use one saline half before the iv and half after.....not really even trying to save money or because anyone told me to idunno it just seemed easier lol but i have Never EVER heard to flush with any heparin before, as long as you have a blood return there should be no need for that til after because you really want your whole line flushed with that after the infusion....
Love You!!!!!!
wow! interesting....can't imagine trying to remember everything to do. so glad you can do it this way tho...love you! gina
ReplyDeleteI love the decoration on the wall behind you. :)
ReplyDeleteHey NurseNelli, Here's Nurselaudi with her two cents: First, no you don't have to do the heparin flush before because it's just getting pushed into your bloodstream by the antibiotic that follows it and therefore not doing any clot prevention in the line at that time. Also, it should not be used just before the antibiotic unless you know they are compatible, which obviously they must be or you would have had major problems by now. But not everything is compatible with heparin and not all IVs are compatible with each other so check before you start your new IVs, or just make sure you do a saline flush between each new fluid. So, save yourself the time and money and heparin and just lock with 2ml after the last flush. Although, since you have that extension line I might lock with 3ml. Second, I don't know if you have different methods of doing your infusion but you may have an easier time of handling all the little pieces/parts if you open everything beforehand and lay them on a clean surface. Like you said, this is a clean procedure, not a sterile one, so that would be ok to do. Third, you should NOT re-cap your needles two-handed! Even if it is your own body fluids you're handling! tsk tsk :) You should lay the cap on the table and, using one hand, slide the needle into it until you can pick up the cap and then you can use your second hand to lock the cap in place. Fourth, A few tiny air bubbles in your line won't hurt you, so don't feel like you have to get every single bubble out. It takes a large amount of air to create an air embolus. Fifth, I've never heard that you have to scrub the cap for 15 seconds but it's not a bad idea. The friction is more important than the time. But to pass the time we suggest you sing "Happy Birthday" to yourself :D Sixth, I'm surprised your line doesn't have a clamp on it. It must be a "power picc". Some don't have clamps but I definitely prefer them! Seventh, I'm bossy and long-winded. Eighth, I did not know you were so weak! I wish I could come be your nurse :) Ryan, Roseanna, your mom and I could rotate out :) Ninth, you can pop the seal on the heparin flushes more easily by leaving the cap on and pushing gently on the plunger or by taking the cap off and pulling back on the plunger. Either method will keep heparin from hitting the ceiling. And just to make it an even ten...Tenth, love you! and I think you deserve and honorary nursing degree! Good job on the explanation and keeping everything clean and orderly!
ReplyDelete@nurselaudi- Thank you for the lovely letter! ;)#3-So I KNEW as soon as I capped the needle that way, I was going to hear about it. I *typically* do cap them properly, usually a pretty big advocate of it. But I don't know what I was thinking in the moment...I know I know, major brain fart! #1-The heparin, I'm not going to be doing it before my infusion anymore. That is the way the nurse taught me to do it but when I think about it, it just seems pointless. #4-The air bubbles...I'm too picky but pulling the saline into the syringe the way I do creates a lot of air pockets on the sides. Isn't it like 5 cc's of air you would have to get to really do damage? I think that is what I heard. #5-THANK YOU! I thought the 15 second thing was weird! #6-My PICC is a Groshong which has the pressure sensitive end so there isn't a need for a clamp. #7-I love you! #8-That would be lovely! :) #9-I did that tonight and it worked really well! Thank you!
ReplyDelete#10-I'll say it again, I love YOU! It seems like I am missing something...idk!
The reason I could not comment is because on my computer the comment word is almost exactly the same color as the background and I COULD NOT see it. Mom.
ReplyDeleteYou might look into getting piggyback bags of saline rather than using a 60cc syringe. The air floats to the top after mixing.... less equipment...
ReplyDelete