By Janet M. Gianino MS, RN, Judith A. Paice PhD, RN, Michelle M. York RN (auth.)
INTRATHECAL DRUG remedy FOR SPASTICITY AND discomfort is a pragmatic handbook for nurses and health practitioner assistants who use Intrathecal Drug Infusion for treating sufferers being affected by spasticity and persistent discomfort. This booklet provides clients of this new expertise with the data they should put it to use successfully, together with pump mechanics and the pharmacology of drug supply. No different publication of its type exists, and its clients on the over a hundred amenities that use implanted drug supply have relied completely at the pump manufacturer's manuals. The authors are from a number one middle for examine and utilized use of those pumps and, operating with Dr. Richard Penn, have spent years constructing the abilities essential to make the most of the program successfully. Dr. Penn, who writes the Foreword, has in my view implanted over 3000 pumps.
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Extra resources for Intrathecal Drug Therapy for Spasticity and Pain: Practical Patient Management
Even more unusual is an epidural hematoma which may lead to spinal cord compression and requires emergency treatment. Although not a postoperative complication, there has been report of a spinal cord compression which occurred from an inflammatory tissue mass surrounding an intrathecal catheter. 29 Adverse drug effects (see Chapters 6 and 7) and mechanical complications (Chapter 8) can also occur. 2 addresses postoperative complications and their management. 30 ~ B. Fluid collection 1. Serosanguineous fluid accumulation (seroma) may be noted the first few weeks.
Can a patient with an Implantable pump (Infusald or Medtronlc) have an MRI? Yes, patients with either pump can have an MRI performed; however, the effects of the MRI on the SynchroMed Pump are unknown. 18 Patients who have an Infusald pump require no special preparation. 2. Can a patient with an Implantable pump (Infusald or Medtronlc) have a CAT scan? Yes, patients with either pump may have this scan performed; however, the pump may grossly distort the image directly around the pump. The Medtronlc pump does not need to be emptied or turned off.
5 em, or 1 inch, below the skin surface. 6. " There are, however, no distinct borders between the adjacent dermatomes. For spasticity management with baclo· fen, most intrathecal catheter tips are placed at the T12-L 1 level to produce the most dramatic effect. For managing pain with morphine, most intraspinal cath· eter tips rest in the lumbar region; however, some clinicians place catheter tips at higher levels within the spine, which represent the area of pain. (Reprinted with permission from Guyton 32 and Grinker and Saks.
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