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INJECTION TECHNIQUES OF SUBCUTANEOUS ANTICOAGULANT THERAPIES
Title
INJECTION TECHNIQUES OF SUBCUTANEOUS ANTICOAGULANT THERAPIES.
Creator
Morissette, Leah, Desmarais, Paul, University of Central Florida
Abstract / Description
Subcutaneous anticoagulant medications like Heparin and Low-Molecular Weight Heparin are injections that readily cause bruising, pain, induration, and hematoma formation at the injection site. It is known that these adverse reactions can be correlated to the technique used to administer these medications; however, there is no established technique that reduces bruising, pain, induration, and hematoma formation at the site. Currently, the only protocol for subcutaneous Heparin and Low...
Show moreSubcutaneous anticoagulant medications like Heparin and Low-Molecular Weight Heparin are injections that readily cause bruising, pain, induration, and hematoma formation at the injection site. It is known that these adverse reactions can be correlated to the technique used to administer these medications; however, there is no established technique that reduces bruising, pain, induration, and hematoma formation at the site. Currently, the only protocol for subcutaneous Heparin and Low-Molecular Weight Heparin is that it is to be administered subcutaneously in the abdomen and when using a prefilled syringe, the air bubble should not be removed. The purpose of this study was to identify current nursing practice for the administration of these medications and to compare the results to researched techniques that resulted in less adverse site reactions. A total of 33 participants were recruited. The survey targeted six researched techniques found, after a comprehensive literature review, to have reduced site adverse effects associated with subcutaneous Heparin and Low-Molecular Weight Heparin. After completing the survey, it was found that current practice does not reflect techniques researched to reduce bruising, pain, induration, and hematoma formation at the site. In fact, very few completed one of the six research techniques that were questioned, which included: a two minute application of a cold compress/pack before and/or after the injection, an injection duration lasting 30 seconds, slow removal of the needle over five seconds, application of pressure after the injection for a minimum of 30 seconds, use of a hot pack/compress after the injection, and the use of a3 mL syringe. It was also found that there were inconsistencies in techniques that have been previously established as current protocol for these medications.
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Date Issued
2015
Identifier
CFH0004733, ucf:45390
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004733
INDUCED HYPOTHERMIA AND ITS EFFECTS ON CARDIAC ARRHYTHMIAS
Title
INDUCED HYPOTHERMIA AND ITS EFFECTS ON CARDIAC ARRHYTHMIAS.
Creator
Barlow, Shatoyia, Desmarais, Paul, University of Central Florida
Abstract / Description
The purpose of this integrated review of the literature was to determine the relationship between therapeutic hypothermia and cardiac arrhythmias. The reviewed literatures were English based articles from year 2003-2013. Relevant information from the American Heart Association and the International Liaison Committee on Resuscitation was used to further enhance research results. The results of this literature review showed hypothermia treatment propensity to prolong QT interval without...
Show moreThe purpose of this integrated review of the literature was to determine the relationship between therapeutic hypothermia and cardiac arrhythmias. The reviewed literatures were English based articles from year 2003-2013. Relevant information from the American Heart Association and the International Liaison Committee on Resuscitation was used to further enhance research results. The results of this literature review showed hypothermia treatment propensity to prolong QT interval without precipitating life-threatening arrhythmias. Although arrhythmias can be potentially increased under induced hypothermia, it has been shown that treatment is easier while under hypothermic conditions. The reviewed research also shows that hypothermia treatment should be expanded to include more circumstance besides ventricular cardiac arrest. It was suggested that the reason for lack of use of hypothermia treatment under the suggested conditions was due to the restricted circumstances in which it is suggested to be used. Other recommendations include increased monitoring for cardiac rhythms during cardiac arrhythmias and protocols for arrhythmia treatment.
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Date Issued
2014
Identifier
CFH0004653, ucf:45256
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004653
NURSING INTERVENTIONS FOR INTRADIALTYIC HYPOTENSION: USING BLOOD VOLUME MONITORING GUIDED ULTRAFILTRATION
Title
NURSING INTERVENTIONS FOR INTRADIALTYIC HYPOTENSION: USING BLOOD VOLUME MONITORING GUIDED ULTRAFILTRATION.
Creator
Cedeno, Suzette S, Montoya, Vicki, Desmarais, Paul, University of Central Florida
Abstract / Description
Background: Intradialytic hypotension is a potential complication experienced by patients with end-stage renal disease who receive hemodialysis. This complication occurs during the dialysis treatment in 15-30% of all treatments. The multiple comorbidities that exist in hemodialysis patients predispose them to recurrent intradialytic hypotension episodes. Recurrent intradialytic hypotensive episodes can result in negative short-term and long-term clinical consequences. Short-term consequences...
Show moreBackground: Intradialytic hypotension is a potential complication experienced by patients with end-stage renal disease who receive hemodialysis. This complication occurs during the dialysis treatment in 15-30% of all treatments. The multiple comorbidities that exist in hemodialysis patients predispose them to recurrent intradialytic hypotension episodes. Recurrent intradialytic hypotensive episodes can result in negative short-term and long-term clinical consequences. Short-term consequences include complications such as ischemic events (e.g., heart attacks, strokes), clotting of patient dialysis access, or heart rhythm abnormalities. Long-term consequences include end-organ damage, increased cardiovascular morbidity, and a higher mortality rate. Problem Statement: Available nursing interventions used to treat intradialytic hypotension such as decreased dialysis fluid temperature, changes in the calcium and sodium concentrations in the dialysis fluid and oral medication have limited success. Another existing technological intervention called blood volume monitoring shows greater potential success but is currently underutilized. Purpose: The purpose of this literature review is to synthesize current literature on blood volume monitoring technology used to prevent intradialytic hypotension in hemodialysis patients. Methods: A literature review was conducted analyzing pertinent research articles published in the last ten years, in addition to seminal articles. Seventeen articles were retrieved and analyzed that met criteria. Results: Fourteen of the seventeen research studies reached a consensus on the successful use of blood volume monitoring to decrease intradialytic hypotension and the related symptoms. Conclusion: Results of the literature review support the use of blood volume monitoring technology as an effective nursing intervention to prevent intradialytic hypotension in hemodialysis patients.
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Date Issued
2019
Identifier
CFH2000519, ucf:45670
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000519