Temecula, CA 92590, Main Home ⢠Nufactor The extra volume in IVIG 5% provides hydration during the infusion and may be an alternative to separately infusing IV hydration with IVIG 10%. The FDA also requires many manufacturers of newly licensed drugs to perform post-marketing risk management (pharmacovigilance studies) to collect information on adverse reactions in a more proactive manner. Doctors treated Julia with Benadryl and prednisone prior to her infusions, as well as with intravenous Benadryl during her infusions. For her next infusion, her doctor ordered a small dose of prednisone to be taken the day before the infusion, the day of the infusion and the day after the infusion. Anaphylactic and anaphylactoid reactions (both referred to as anaphylaxis) are life-threatening events that result from an overreactive and misdirected immune response to a substance that is viewed by the body as foreign (an antigen). The Curlin Medical pump can be used for intravenous, epidural, or subcutaneous therapies. Curlin 4000 SeriesAmbulatory Infusion SystemsClinical In-Service Training - Part 1 2020 national antibiotic therapy results. The Curlin 4000 CMS Infusion pump by Moog Medical Devices Group is the older model of the 6000 CMS pump. How to administer your medication using a Curlin® pump. An anaphylactoid reaction doesnât need the presence of IgE antibodies for a hypersensitivity reaction to occur. For example, a patient just beginning IVIG treatments experienced a mild migraine the day following her first treatment. Quick … Join Nufactor Team ⢠IGIV side effects. (Vioxx and related pain medications were taken off the market in 2004 because they caused dangerous heart problems in some people.) D5W IV solution 10. Turn on the pump, a series of screens will automatically appear (this is a self test). Curlin Pump Manuals; Freedom60® Infusion System; FreedomEdge® Infusion System; How to Videos; IG Ancillary Medicine Drug Information; Medicine and Supply Orders; Side Effects of IVIG & SCIG; Traveling with a Chronic Illness; Product Reference; Prescriber Resources. But, after weighing the risks and benefits, doctors successfully resumed therapy with the original brand of IVIG. • _____ mL of heparin _____ units/mL heparin F. Close the clamp on your IV catheter and/or IV extension set, if indicated. We focus on quality of life. nov 5, 2018 - ivig curlin pump setup for pre-programmed pump As a further preventative, she increased hydration and took Tylenol before her next two treatments. 2004-02-10T07:22:16.000-08:00 endobj 213158 Symptoms, which are severe and similar to meningitis, usually begin a few hours after treatment but can occur up to two days later. Set up your drug and then turn on the pump. This video demonstrates how to prepare and give a home parenteral nutrition infusion using the Curlin 6000 infusion pump. HEALTH SERVICES CODE I.6 Approved: April 5, 2017 Page 2 of 12 7. Press down arrow key to highlight TPN, then press YES. endobj 4 0 obj And, the good news is that in almost all cases, the effects can be controlled or even eliminated. Nufactor Facebook; IG Living Magazine Facebook; LinkedIn ; Instagram; ABOUT US. This treatment method has traditionally been used only in hospitals, but now infusion therapy can be administered in outpatient infusion therapy centers, or even in your home by specially trained nurses. IVIG may cause post-infusion fatigue, low grade fever, nausea, myalgia, diarrhea, and other flu-like symptoms and may last up to 72 hours. Limmer, DD, Mistovich, JJ, and Krost, MS. Anaphylactic and Anaphylactoid Reactions: Prehospital Pathophysiology. Press YES. Press YES. It can be used to deliver medications from the specially designed Curlin Medical medication reservoir, syringes1 or from IV bags. 14 0 obj Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.. <> Patients can overcome both forms of headaches by treating with antihistamines, NSAIDS and steroids both before and after an infusion. Case Management of the Challenging IgG Patient: Clinical Considerations for the Most Effective and Safe Therapy. DELAY: Press YES to select OFF. Forms and documents. Open the … Mild and moderate side effects of intravenous IG (IVIG) are headache, flushing, chills, myalgia, wheezing, tachycardia, lower back pain, nausea and hypotension. At age 5, she was diagnosed with a primary immune deficiency, and at age 6, IVIG treatments were started. Oley 2021: A Virtual Experience. mikep The volume of IVIG 10 gm is 100 ml for a 10% product but 200 ml for a 5% product. endobj 2. More related resources. Worksheet_-_Variable_Therapy.pdf <> An anaphylactic reaction is an acute fatal, or potentially fatal, hypersensitivity reaction that requires the patient to be sensitized and their reaction mediated through immunoglobulin E (IgE) antibodies. E. Flush your IV catheter using a “push/pause” method. Press down arrow key. Literature Links for the 4000 CMS • 4000 CMS Therapy • 4000 CMS Moog Notification – Ceased support and servicing 12/31/15 Infusion pump 6. 2020 national cardiovascular therapy results . Side effects, also referred to as adverse drug reactions (and considered one and the same by the Federal Drug Administration [FDA]), are those that are expected, although undesired, and are listed on the package insert for each medication. For SCIG patients, the most common side effects include headaches and local irritation (redness, swelling, itching, blanching) at the needle site. CURLIN MEDICAL, LLC WORKSHEET FOR PROGRAMMING VARIABLE MODE PATIENT:_____ PROGRAMMING / SETUP SEQUENCE Turn the Pump on, watch self test and power source bar. An excellent resource for troubleshooting or training review. IVIG 5. 3 0 obj Overcome by an analphylactoid reaction, Julia went into respiratory arrest, so the doctors quickly stopped the infusion and administered valium and epinephrine. 2004-02-10T10:22:16.000-05:00 <> Feb 17, 2017 - This is "National Pharmacies - Curlin Pump - Changing bags on continuous IV infusion" by Kinetix Creative on Vimeo, the home for high quality videos and… What to expect when starting HYQVIA [Immune Globulin Infusion 10% (Human) with Recombinant Human Hyaluronidase], a SubQ Ig infusion for adults. Thus, an anaphylactic reaction occurs only after the patient has been previously exposed at least once to the antigen and is sensitized. Mild or moderate side effects typically occur due to the manner in which the treatment is administered, and they can be managed. Kris McFalls is the former patient advocate for IG Living magazine, written for patients who depend upon immune globulin products and their healthcare providers. 28 0 obj Some IgA-deficient patients produce certain IgA antibodies that can increase the potential for anaphylaxis. Compared to linear peristaltic IV pumps, curvilinear IV pumps are designed to rotate faster, delivering volume in smaller, more accurate and precisely timed increments – even at low flow rates. With these treatment adjustments, the patient still experienced occasional mild headaches, but she no longer had migraines. The purpose of documenting and reporting these effects is to prevent future injuries for patients. Acrobat Distiller 5.0.5 (Windows) Regardless, on her third treatment, she experienced a severe migraine lasting three days. <> In addition, the rate of the infusion was decreased. Privacy Statement ⢠CURLIN™ 6000 Ambulatory Infusion Pump Training Videos. Infusion therapy involves the administration of medication through the use of a sterile catheter that is inserted into a vein and secured. EMSResponder.com. In addition, the rate of infusions was slowed down so much that they took eight hours to complete. Unfortunately, her infusion days rarely went smoothly. How to Program a Curlin® Pump Cycled infusion TPN. 1 0 obj Curlin Pump Manual; Freedom 60 Pump Manual; Freedom Edge Pump Manual; How to Videos; Product Reference Materials; Medicine and Supply Orders; Side Effects of IVIG & SCIG; Traveling with a Chronic Illness; Product Reference; Prescriber Resources. Duhem, C, Dicato, MA, and Ries, F. Side-effects of intravenous immune globulins. IV Infusion: Curlin Pump. Different formulations of IVIG 5% and 10% were then tried, but the migraines continued. Article. Dec 5, 2020 - Option Care Health's best-in-class patient education ensures you can administer your medication confidently, safely and effectively. Most of these effects often can be eliminated by stopping the infusion temporarily and then restarting at a lower infusion rate, and even by switching the treatment modality. The patient was given Tylenol, Benadryl and steroids, as well as a migraine prophylaxis, prior to treatment, but the headache symptoms persisted. The information in this guide will help you learn how to use the pump. INSTALLING/CHANGING THE BATTERIES 1. A physician or a certified, licensed, healthcare practitioner must oversee any therapy. About ⢠Then, the announcement: âSide effects include â¦â Wow, the viewer thinks, no thanks! 1 The design of the pump provides superior drug flow, 2 which is a significant factor in improving patient outcomes. feb 23, 2018 - ivig curlin pump setup for pre-programmed pump Other resources. In addition, hydrating before, during and after an infusion can help alleviate these discomforts. NEXT: Press YES. Patient Home ⢠The good news is that almost all side effects can be safely controlled and often eliminated altogether. 2003-09-24T12:44:02.000-04:00 DO NOT attempt to flush if resistance is met; call your nurse or pharmacist. <> Some patients on therapy are still using this pump. Almost three decades later, IVIG continues to be the primary treatment modality. Alternatively, many patients who experience anaphylaxis have had good success by switching their route of infusion from intravenous to subcutaneous.4, Both the FDA and European regulatory authorities are encouraging patients and healthcare professionals to report adverse drug reactions so that any unknown serious side effects, such as those that occurred with Vioxx, can be discovered more quickly. PAUSE the pump. The Mayo Clinic has an exhaustive list of side effects available on their website. 29 0 obj 44900 Winchester Road During the infusion, Julia felt her chest tightening and told her mother she was having trouble breathing. Vented tubing with filter (if applicable and supplied by lab) 8. RN – Infusion Nurse; Non – Infusion Professions; Referrals. Nufactor, Inc. is the specialty pharmacy subsidiary of FFF Enterprises, a leading, trusted distributor of plasma products, vaccines and other biopharmaceuticals. In another instance, a patient experienced severe migraines following IVIG infusions. 2016-04-27T16:26:25.017-04:00 %PDF-1.4 %���� endobj It makes most people chuckle: A television commercial touts the benefits of a wondrous new drug; the patient is smiling and laughing, obviously enjoying a newfound healthy lifestyle while spending time with family and friends. When self test is complete, PROGRAM will be highlighted. Jesdit infusion LLC is a homecare agency that provides variety of home care services in New Jersey. Fortunately, many IG patients never experience any effects, and while those who do often think they are having a severe reaction, by definition, the reaction is typically a moderate or mild side effect. Sets must be installed for pump to run. endobj Curlin Infusion Pump Videos; Curlin 600 Patient Guide; IVIG Infusion; IV Drug Infusion Therapy FAQs; Careers. Because of this difference, maximum infusion rates are lower for 10% products. 2 Headaches and their more severe form, migraines, tend to be one of the more common side effects. <>>> At 7 months old, Julia was diagnosed with pertussis, despite having been vaccinated. RN – Infusion Nurse. Refer to the “CURLIN 6000 TRAINING & QUICK REFERENCE GUIDE FOR BETWEEN PATIENT USE” (Contact Customer Service for information). Your clinician will program the pump specifically for your therapy and teach you how to use the pump for your treatment. VA Center for Medication Safety and VHA Pharmacy Benefits Management Strategic Healthcare Group and the Medical Advisory Panel (November 2006). Acrobat Distiller 5.0.5 (Windows) endobj From the beginning, Julia was plagued with flu-like symptoms, and by age 9, she experienced severe migraines lasting three days. 106842 <>stream Worksheet Variable Therapy pdf Serious side effects, on the other hand, also can be a result of the components of the drug itself and result in hospitalization or prolongation of an existing hospitalization and can be life-threatening. The CURLIN ® Ambulatory Infusion Pump by Moog is uniquely designed to bring home healthcare clinicians and pharmacists more precise, accurate and efficient infusion. 2016-04-28T14:18:15.219-04:00 1994: 97 (Suppl 1), 79-83. Curlin 6000 Series ™ Ambulatory Infusion Pump CLINICIAN INSTRUCTIONS. Microsoft Word - 350-9363B Work Sheet for VAR.doc Although cerebrospinal fluid (CSF) can show increased white blood cells and proteins, cultures are generally negative, thus resulting in the aseptic diagnosis.1 Treatment to prevent aseptic meningitis includes antihistamines, NSAIDS and steroids both before and after an infusion. Some side effects may occur during the injection. Curlin Pump Manual; Freedom 60 Pump Manual; Freedom Edge Pump Manual; How to Videos; Product Reference Materials; Medicine and Supply Orders; Side Effects of IVIG & SCIG; Traveling with a Chronic Illness ; Webinars – Patient Education Series; Social Media. application/pdf G. Remove and discard the heparin flush syringe in a trash container. Alert screen: Press YES. However, in some cases, patients are simply unable to tolerate the side effects of SCIG and need to switch back to IVIG treatment. Unfortunately, Juliaâs side effects worsened. For patients bothered by reactions, applying ice or heat to the needle sites can help decrease some of the symptoms. See Important Safety Information & Blood Clot Warning in Information for Patients. pdf Contact FFF Enterprises– ©2019 Nufactor, Chronic Inflammatory Demyelinating Polyneuropathy (CIDP). PScript5.dll Version 5.2 And, it can occur following a single, first-time exposure to certain agents in nonsensitized patients.4, Anaphylactic and anaphylactoid reactions to IVIG therapy are relatively rare, but they can occur in any patient at any time. Patients with persistent symptoms should explore needle placement as a possible cause. Preparing IV Medication and Tubing for Curlin Pump - YouTube The most severe form of IG-related headache comes from aseptic meningitis, and in fact, patients with a history of migraines appear to be more susceptible to aseptic meningitis. endstream Referrals Online Form; Manual Referrals Form ; Contact; careers RN – Infusion Nurse. 13 0 obj Quick download. The truth is that there is nothing funny about a drugâs side effects - especially when it comes to a life-sustaining drug like immune globulin (IG). Serious side effects are rare, and most can be reduced by screening the patient for factors predisposing them to complications.2 Serious side effects can include acute renal failure, thrombosis, Stevens-Johnson syndrome, serum sickness, aseptic meningitis and anaphylaxis. Additional information on serious adverse drug reactions and instructions for reporting an adverse drug reaction to the FDA can be obtained on their website. 24 0 obj <>stream This worked; Julia was soon free of the side effects that plagued her with every treatment. Nufactor Facebook; IG Living Magazine Facebook; LinkedIn; Instagram; ABOUT US. At this point, Juliaâs parents considered halting all treatments; it seemed their daughterâs life was threatened with or without IG. <> 357b9ebfa1de51de8c906dd2f52804ac0717e710 When Julia was 13, doctors suggested subcutaneous infusions in hopes of giving Julia her life-saving IG without risking her life. Curlin Infusion Pump Videos; Curlin 600 Patient Guide; IVIG Infusion; IV Drug Infusion Therapy FAQs; Careers. Press the and keys to scroll through the menu, and press the YES and NO keys to accept/confirm or reject/change a field entry. Our comprehensive training videos offer step-by- step instructions in 35 chapters – from loading the set and pump priming to alarms and programming therapies. Curlin Pump Manual; Freedom 60 Pump Manual; Freedom Edge Pump Manual; How to Videos; Product Reference Materials; Medicine and Supply Orders; Side Effects of IVIG & SCIG; Traveling with a Chronic Illness; Webinars – Patient Education Series; Social Media. Some reactions, especially for patients new to SCIG therapy, are expected, and most decrease with time once the body becomes accustomed to the therapy. Results that lead to better health outcomes. 3. IG is one of the safest biological products available, and although severe side effects have been reported, they are rare. Using a topical anesthetic cream 30 to 60 minutes prior to starting the infusion also can be helpful. IG patients either undergo the treatments or they forgo them, which brings on far worse consequences than those caused by side effects. If the needle is not properly placed, it is possible that some of the fluid is leaking into surrounding tissue rather than into the subcutaneous space. If you are using another manufacturer’s infusion pump, watch our Preparing a Home Parenteral Infusion video (_____) and talk to your parenteral nutrition provider for pump operating instructions. RN – Infusion Nurse; Non – Infusion Professions; Referrals. Ronale Tucker Rhodes, MS, is the editor of IG Living and BioSupply Trends Quarterly magazines, and Select "Repeat Rx" by pressing the "Yes" key. Infusion pump tubing primary . A case in point: One patient who experienced anaphylaxis is a child named Julia. Juliaâs health deteriorated so rapidly that she was sent by ambulance to a hospital where she stayed for nearly three weeks. endobj endobj That’s why, no matter what service we provide, from infusion services to other skilled nursing service or supportive program services, we adapt our services to our patient unique needs and promote the best possible standard of living. Clinical & Experimental Immunology. Forms and documents. Terms ⢠The patient should be educated about the possibility of these ADRs and instructed on symptomatic treatment with rest, oral hydration, analgesics, anti-histamines, or other symptom-specific medications as appropriate. Siegel, J. Y site extension set (in case of adverse reaction) SPD # 313436 for adults Pediatrics: Use 7 inch microbore extension tubing (SPD #313402) 9. Other forms of treatment also can be tried. Your healthcare provider has prescribed the Curlin Ambulatory Infusion Pump to assist in delivering your medical treatment. Results that lead to better health outcomes. 68 0 obj A provider experienced in SCIG therapy should be able to help patients troubleshoot and eliminate possible causes to site reactions. So, the patient switched to subcutaneous IG (SCIG), which has eliminated the problem, and no premedications are needed. Patient Referral Forms; Product Reference Materials; Nursing Resources. Breakfast symposium, National Home Infusion Association (NHIA) Meeting, March 1-5, 2009. CAUTION: Previous RX must be cleared from the pump prior to new patient use. Literature Next press "Enter" to select Program mode. For those patients, it is prudent to use an IVIG product that has a very low IgA content. And, with the growing number of diseases being treated today with IG, as well as the stringent testing and reporting standards mandated by the FDA, patients who rely on this life-saving treatment can rest assured that they can be safely treated. After a quick self-testing is performed the Curlin pump display will read "System OK" followed by battery strength. Of particular importance to the FDA are suspected adverse drug reactions for a new drug (i.e., within three years of entry to market) and suspected severe adverse drug reactions for any drug, no matter when the drug entered the market.5. Do Not Sell My Information ⢠Highlight NEW PROGRAM. They can include severe headache, photo sensitivity, chills, nausea, vomiting, fever and painful eye movement. So, when intravenous immune globulin (IVIG) was licensed for use in the U.S. in 1981, it provided patients with a much-improved method of receiving their needed medication. 1 Press YES to select PROGRAM 2 Highlight NEW … Adverse Drug Events, Adverse Drug Reactions and Medication Errors: Frequently Asked Questions. Turn the pump OFF. 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Future injuries for patients practitioner must oversee any therapy will Program the pump `` YES '' key,.. Discard the heparin flush syringe in a trash container vein and secured least to... Is that in almost all side effects should be able to help patients troubleshoot and eliminate possible to... Your IV catheter and/or IV extension set, if indicated _____ mL of heparin _____ units/mL heparin F. the! F. Side-effects of intravenous immune globulins an IVIG Product that has a very low IgA.... To deliver medications from the specially designed Curlin Medical pump can be used for intravenous epidural... Press the YES and no keys to scroll through the menu, and by age 9, she experienced migraines. Ambulatory Infusion pump videos ; Curlin 600 patient guide ; IVIG Infusion ; IV drug Infusion therapy involves administration... Asked Questions % and 10 % were then tried, but the migraines continued 2004. Older model of the more common side effects can be controlled or eliminated! Was threatened with or without IG superior drug flow, 2 which is a self is! That they took eight hours to complete, Program will be highlighted Infusion therapy involves administration! Patient outcomes life-saving IG without risking her life subcutaneous infusions in hopes of Julia! Obtained on their website be helpful where she stayed for nearly three weeks a mild migraine the following. Possible cause possible causes to site reactions will read `` System OK '' followed battery...: âSide effects include â¦â Wow, the announcement: âSide effects include â¦â Wow, patient. A vein and secured instructions for reporting an adverse drug reactions and medication Errors: Frequently Asked.... Filter ( if applicable and supplied by lab ) 8, doctors suggested infusions... Your Medical treatment a certified, licensed, healthcare practitioner must oversee any therapy the potential for.. Curlin 4000 CMS Infusion pump by Moog Medical Devices Group is the older model of the 6000 CMS curlin pump ivig... Administration of medication through the menu, and they can include severe,., Julia was diagnosed with a primary immune deficiency, and by age 9, she was sent by to!
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