Safety Recommendations for Administering Intravenous Prostacyclins in the Hospital.

Prostacyclins are a high-risk category of continuous intravenous infusions increasingly used in hospitals to treat advanced pulmonary arterial hypertension, a rare condition characterized by vasoconstriction and vascular proliferation of the pulmonary arteries. Prostacyclins are given in doses of na...

Descripción completa

Detalles Bibliográficos
Publicado en:Critical Care Nurse Vol. 33; no. 5; pp. 32 - 42
Autores principales: Kingman, Martha S., Chin, Kelly
Formato: CEU exam questions tables/charts teaching materials Journal Article
Publicado: American Association of Critical-Care Nurses Oct2013
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Prostacyclins are a high-risk category of continuous intravenous infusions increasingly used in hospitals to treat advanced pulmonary arterial hypertension, a rare condition characterized by vasoconstriction and vascular proliferation of the pulmonary arteries. Prostacyclins are given in doses of nanograms per kilogram per minute and have a narrow therapeutic dosing range for each patient. Sudden increases or decreases in dose can be life threatening. Previous studies revealed errors in the administration of these high-risk infusions, which in some instances led to serious adverse events, including death. The literature was reviewed for safety measures in administration of high-risk intravenous medications and input was obtained from leading experts in pulmonary arterial hypertension to create a set of safety recommendations for infusion of prostacyclins.