**ALWAYS establish patent IV access and flush PRIOR to mixing medication**
Pharmacy specific orders / instructions always supersede the Agency guidance provided below. If in doubt, do not guess, call our office, or tag @TeamHelp-CareCoordination and ask for Clinical Support.
ALWAYSÂ establish IV access prior to mixing any meds
ALWAYSÂ make sure you have everything you need to complete infusion before you begin
ALWAYSÂ confirm your medication dose against the medication label and orders
ALWAYSÂ reach out to us first (not the Pharmacy) with any questions
NEVERÂ tell a Pt you have not given a particular medication before
MIXING
Obtain a clear/clean space to prepare Rystiggo
Be sure all the necessary supplies are available to complete the procedure from beginning to end.
You will need sterile syringe(s), sterile transfer needle(s), alcohol wipes, infusion set, transparent tape or dressing, infusion pump, sharps container
Rystiggo should be colorless to pale brownish-yellow, clear to slightly opalescent. Bring to room temperature (appox 30 minutes)
Prepare the infusion pump and infusion set.
Infusion pump settings:
Minimum volume: 3 ml
Flow rate: Max 20 ml/hour
 Transfer Rystiggo to syringe.
Withdraw full contents of vial using sterile transfer needle (some residual volume may remain – discard it).
Repeat for additional vials if needed, using new sterile transfer needles
Remove needle, attach infusion set to syringe
(Infuse Rystiggo within 4 hours of vial puncture)
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ADMINISTRATION
Take baseline vitals and document basic assessment.
Choose a site in lower left or right abdomen, below the navel.
Avoid
Tender, bruised, red or hard skin
Tattoos, scars, stretch marks
Rotate sites between infusions
Clean site with alcohol, let dry
Pinch skin with two fingers, insert infusion needle into subcutaneous tissue with dart-like motion.
Secure needle using sterile gauze and tape or transparent dressing.
Begin infusion at constant flow rate up to 20 ml/hour
Assess vital signs 15 minutes after infusion start, every 15 minutes AND 5-10 minutes post infusion.
Record lot numbers and expiration dates for vials used.
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ADDITIONAL INFO
ADDITIONAL INFO:
Website: https://www.rystiggohcp.com/Â
Administration Guide:Â Rystiggo Administration Guide.pdfÂ
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