IVIG and Rituximab

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Test your knowledge about best practices when administering IVIG or Rituximab

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Viktoria

Estados Unidos

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IVIG and Rituximab


Froggy Jumps IVIG and RituximabVersión en línea Test your knowledge about best practices when administering IVIG or Rituximab por Viktoria 1 What are some clinical conditions for intravenous immunoglobulin (IVIG)? a Multiple Sclerosis or Rheumatoid Arthritis b Chronic inflammatory demyelinating polyneuropathy or Guillian Barre c Myasthenia Gravis flare or Stroke 2 What are the rate increases for Intravenous Immune Globulin (IVIG)? a 25ml/hr x1 hr, 50ml/hr x1 hr, 75ml/hr b 25ml/hr x 30 min, 50ml/hr x 30min, 75ml/hr c 50mg/hr x 30min, 100mg/hr x 30min, 150mg/hr 3 What are some commonly prescribed pre-medications ordered prior to IVIG infusion? a Acetaminophen 1000mg, ketorolac 15mg b Dexamethasone 10mg, Acetaminophen 975mg c Acetaminophen 650mg, Benadryl 25-50mg 4 When should you administer the pre-medications? a 30 minutes prior to the infusion b Await medication delivery to unit; begin infusion 30 minutes after pre‑medications. c 30 minutes prior to calling down to pharmacy for infusion to be delivered 5 Your patient has received 2 doses of IVIG and tolerated both infusions. You are administering the patient's 3rd IVIG infusion. They are now at 75ml/hr for the remainder of the infusion. How frequent are the vital signs for the rest of the infusion? a q6 hours b q1 hour c q2-4 hours 6 You started the IVIG infusion at 25ml/hr. Now the patient is due for it to be increased to 50ml/hr, but your patient is reporting a new headache, chills and shortness of breath. Vital signs are stable. What should you do? a notify the provider via secure chat b Notify the provider via phone call c press the staff assist 7 What are some clinical indications for Rituximab? a Multiple Sclerosis or Neuromyelitis optica (NMO) b Vasculitis or Multiple Sclerosis c Hemmorhagic stroke or Hodgkin Lymphoma 8 Your patient is under the neurology ward service and is diagnosed with an MS flare. After the LP resulted, the team's plan is to administer a dose of rituximab. What needs to be done before Rituximab is administered? a Look for signed consent in the chart b Check for blood return from PIV, administer pre-medications & complete IP oncology navigator (2 RNs) c Nothing, just waiting for it to arrive from pharmacy 9 During report, you hear that one of your patients is finishing up their rituximab infusion. They are at the max rate and tolerating well. How often should you be getting vital signs for the remainder of the infusion? a q1 hour b q30 min c q4 hour 10 Your Rituximab infusion and now complete. Where do you dispose of the empty bag of medication? a Discard in black box b Discard in yellow chemo hazard bin c Discard in normal trash

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IVIG and Rituximab

Froggy Jumps

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Froggy Jumps

IVIG and RituximabVersión en línea

por Viktoria

What are some clinical conditions for intravenous immunoglobulin (IVIG)?

What are the rate increases for Intravenous Immune Globulin (IVIG)?

What are some commonly prescribed pre-medications ordered prior to IVIG infusion?

When should you administer the pre-medications?

Your patient has received 2 doses of IVIG and tolerated both infusions. You are administering the patient's 3rd IVIG infusion. They are now at 75ml/hr for the remainder of the infusion. How frequent are the vital signs for the rest of the infusion?

You started the IVIG infusion at 25ml/hr. Now the patient is due for it to be increased to 50ml/hr, but your patient is reporting a new headache, chills and shortness of breath. Vital signs are stable. What should you do?

What are some clinical indications for Rituximab?

Your patient is under the neurology ward service and is diagnosed with an MS flare. After the LP resulted, the team's plan is to administer a dose of rituximab. What needs to be done before Rituximab is administered?

During report, you hear that one of your patients is finishing up their rituximab infusion. They are at the max rate and tolerating well. How often should you be getting vital signs for the remainder of the infusion?

Your Rituximab infusion and now complete. Where do you dispose of the empty bag of medication?