Intravenous amiodarone is one of the most widely used antiarrythmics for the treatment of atrial fibrillation with rapid ventricular response. Peripheral amiodarone infusion, however, often causes pain during infusion and subsequent phlebitis.Data collection on a cardiac telemetry unit revealed a high rate of phlebitis. A multidisciplinary team developed and implemented amiodarone peripheral infusion guidelines. The pre-guideline phlebitis rate was 85% and post-guideline rate was 38%, representing a 47% change or improvement. An additional finding was that the severity of phlebitis was reduced, as well. The results of this study suggest that the implementation of a peripheral amiodarone infusion guideline reduced the incidence and severity of amiodarone-related phlebitis in the cardiac population.
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http://dx.doi.org/10.1097/NAN.0000000000000072 | DOI Listing |
Nurs Crit Care
November 2024
Gulhane Faculty of Nursing, University of Health Sciences Turkey, Ankara, Turkey.
The purpose of this study was to evaluate the effect of cold application on amiodarone-related vein phlebitis. A quasi-experimental design was used. The study sample consisted of 79 patients who received an amiodarone infusion.
View Article and Find Full Text PDFWorldviews Evid Based Nurs
October 2020
Memorial Sloan Kettering Cancer Center, Division of Evidence-Based Practice, New York, NY, USA.
Background: Intravenous (IV) amiodarone has multiple indications including treatment of hemodynamically unstable patients and the prevention of atrial or ventricular arrhythmias after thoracic surgery. Inflammation of the vein, or phlebitis, is the most common adverse event associated with peripherally administered amiodarone. In 2017, a rise in reported phlebitis incidents was occurring at one large academic medical center.
View Article and Find Full Text PDFIran J Nurs Midwifery Res
June 2015
Department of Biostatistics and Epidemiology, Psychiatry and Behavioral Sciences Research Centre, Mazandaran University of Medical Sciences, Sari, Iran.
Background: Phlebitis is the most common complication associated with peripheral intravenous infusion of amiodarone. The purpose of this study is to determine the effects of sesame oil on the prevention of amiodarone-induced phlebitis.
Materials And Methods: This is a double-blind randomized controlled trial.
J Infus Nurs
September 2016
Kaiser Westside Medical Center, Portland, Oregon. Mary Spiering, MN, RN-BC, CNS, is a clinical nurse specialist at Kaiser Westside Medical Center. This study was completed at Providence St. Vincent Medical Center, Portland, Oregon, where she was a cardiology clinical nurse specialist.
Intravenous amiodarone is one of the most widely used antiarrythmics for the treatment of atrial fibrillation with rapid ventricular response. Peripheral amiodarone infusion, however, often causes pain during infusion and subsequent phlebitis.Data collection on a cardiac telemetry unit revealed a high rate of phlebitis.
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