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Related Experiment Videos

Intravenous push medications in the home.

S M Poole1, A Nowobilski-Vasilios, F Free

  • 1Professional Services for Option Care, Inc., Bannockburn, IL, USA.

Journal of Intravenous Nursing : the Official Publication of the Intravenous Nurses Society
|September 7, 1999
PubMed
Summary

Intravenous (IV) push and minibag methods for home anti-infective delivery show comparable safety and client satisfaction. Minibag infusion had slightly lower complication rates than IV push.

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Quality issues in access device management.

Journal of intravenous nursing : the official publication of the Intravenous Nurses Society·2000
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Development and preliminary outcomes of a program for administering antimicrobials by i.v. push in home care.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists·1999
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Area of Science:

  • Pharmacology and Pharmaceutics
  • Nursing and Patient Care
  • Health Services Research

Background:

  • Evaluating economical and safe drug delivery methods is crucial for quality patient outcomes.
  • Intravenous (IV) push administration is a recognized method, but its comparison with other methods in home settings warrants investigation.
  • Self-administration of anti-infectives in the home setting requires careful consideration of drug delivery efficiency and safety.

Observation:

  • A comparative analysis of 1116 case reports from 50 sites examined minibag versus IV push drug delivery for home anti-infective self-administration.
  • Ceftriaxone, cefazolin, and ceftazidime were the most frequently administered anti-infectives in the study.
  • Overall complication rates were 1.89/1000 catheter days for IV push and 1.69/1000 catheter days for minibag delivery.

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Findings:

  • The minibag delivery method demonstrated a slightly lower overall complication rate (1.69/1000 catheter days) compared to IV push (1.89/1000 catheter days).
  • Phlebitis rates were comparable, with 0.6/1000 catheter days for IV push and 0.79/1000 catheter days for minibag delivery.
  • Client satisfaction levels were similar across all evaluated drug delivery methods.

Implications:

  • Both IV push and minibag methods are viable options for home anti-infective self-administration, offering comparable patient satisfaction.
  • The findings suggest that minibag infusion may offer a marginal benefit in reducing overall complications in home-based anti-infective therapy.
  • Further research can explore optimizing drug delivery protocols to enhance safety and efficiency in home healthcare settings.