Intravenous immunoglobulin

Some neurological and reaction tests can help determine the severity and presence of the demyelination of the nerves. A lumbar puncture is also used to help diagnose and rule out other neurological problems that could be causing the pain and numbness. The doctors analyze the CSF to see what the protein level is compared to the level of the lymphocytes. If the protein level is high, but the lymphocyte level is low, GBS is most likely what the patient and the doctors are dealing with (Sulton, 2002, pg. 27). Treatment There is no known cure for Guillain-Barré syndrome, only ways to speed the recovery process along (Mayo Clinic Staff, 2016). The first step to treat GBS is to start intravenous immunoglobulin treatment. Intravenous immunoglobulin treatment (IVIG) is basically taking immunoglobulins from donated blood and injecting it into the patient’s blood stream (Jolles, Sewell, & Misbah, 2005). According to a study done by the British Blood Transfusion Society, IVIG was 79% effective in speeding up the recovery of a patient that has GBS (Ye, Li & Li, 2014). Another way to speed the recovery process is to perform plasmapheresis, also known as, plasma exchange. In the process of plasmapheresis, all the patient’s plasma in their blood is removed from the body, filtered, then returned. The plasma that is filtered out is replaced by fresh, healthy plasma from a donor. In the above study, plasmapheresis was also tested. Plasmapheresis showed to have a 96% effectiveness…

Introduction Intravenous infusion therapy is an infusion of fluids directly into the patient’s bloodstream via a vein using an intravenous catheter. It is frequently used in hospital settings for patients that require a rapid onset of medication and for those who are unable to receive medications orally. According to Adams and Urban (2012), intravenous (IV) infusion is considered to be the most dangerous route of receiving medications because medication cannot be retrieved once it enters the…

Recognizing that medicine is ever-evolving, the studies chosen were systematically organized by date and results. Results were then broken down by favorable for saline, sodium bicarbonate or inconclusive. The data from the articles closed was interpreted. Of the six articles chosen the data was sorted by conclusion and recommendations for safe pre-procedural care of predisposed patients. Of the six studies reviewed, one commonality the studies exhibited was intravenous hydration for at least 12…

taken place, resulting in prompt recognition and management of many diseases. Despite this, meningococcal disease remains one of the leading causes of death in children and young people worldwide (Dowson, 2014). With its rapid onset and serious nature, meningococcal septicaemia affects up to 0.95% of the western world’s population each year making it essential for health professionals to understand the pathophysiology, recognition and treatment of this deadly disease in the prehospital setting. …

diaphragmatic injury  The patient was intubated and ventilated  The patient had the following devices in place: o Right Intercostal Chest Drain (ICD) for a haemothorax which drained 150ml. o Right sided mediastinal drain o Left sided pericardial drain o Left sided peripheral intravenous (IV) line o Right sided central venous line o Right radial Arterial line (A. line)  Before this case I had not previously come across an A. line in hospital or prehospitally which is why I will be focusing on…

membrane that divides the intracellular fluid from the intravascular fluid. Osmosis is driven by the osmotic pressure from the particles and electrolytes that are not able to pass through the membrane. The space that has a higher concentration will have greater osmotic pressure and therefore will pull the water into the space until both compartments have an equal concentration. (PP chapter 42 page 936) These mechanisms work together to maintain hemostasis of the cell. When a patient has a fluid…

Phlebitis As each patient prepares for their stay in the hospital, majority of them will have an intravenous catheter inserted for fast and easy infusing of medications, fluids, and/or blood products when needed. Inflammation of the vein’s walls where the IV is placed on the hand or arm is termed at phlebitis. Phlebitis is the most common complication of IV infusions and occurs in 30% of patients that are receiving infusions within the hospital (Mullen & Mullen, 2007). Majority of the cases are…

East Jefferson General Hospital 747 So.2d 104 LA (1999) a nurse was charged with negligence in an Acute Care setting because of injury to a patient when the nurse needed three attempts at successfully inserting an intravenous catheter. In this case, the female patient was admitted to the Emergency Department after complaints of abdominal pain and the orders from the doctor were to start treatment, which included a intravenous line for medication. A nurse was assigned and an Intravenous Catheter…

To begin, I will describe the event: I was called to see a 70-year-old female patient on the ward as a Critical Care Response Team (CCRT) call. The patient was alert and oriented, pleasant and cooperative. She was tachycardic, pale, weak distal pulses, still normotensive and having frank rectal bleeding. I activated the Mass Transfusion Protocol, started a normal saline bolus by pressure infuser. I quickly contacted the intensivist, and without delay, we brought her to the Intensive Care Unit…

Critique of Quantitative and Qualitative Research Studies Deirdre Lanford Grand Canyon University NUR 504 Dr. D. Miller March 27, 2017 Critique of Quantitative Research Study Data Analysis Seven studies were presented in a meta-analysis of RCT’s. Findings There was no evidence in the literature reviews supporting the current CDC guideline to replace intravenous lines every 72-96 hours to avoid phlebitis or infection (Morrison & Holt, 2015). Validity and Reliability Participants in all RCTs…