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Many nurses are somewhat familiar with IVIG, IV gammaglobulin. These infusions have been around for decades, although the actual products have changed through the years, and are still changing. Some of these changes have occurred due to improvements in purification processes and some have been the result of research and experience that taught us the hazards of certain preservatives on kidney function and side effect profiles. However, fewer nurses are familiar with gammaglobulin administered subcutaneously.

This is a great way for patients to self administer gammaglobulin, decreasing the cost, preventing lost work time and, in many cases, decreasing side effects and providing more stable IgG levels with resultant decrease in infection rates. It’s important to note that the subcutaneous route is only approved for immunodeficiency diagnoses. There are an increasing number of diagnoses for which IVIG is FDA approved. These include several types of neuropathies, the most recent of which is MMN, Multifocal Motor Neuropathy. Other diagnoses, for which IVIG is used, that you may not be familiar with, include Myastenia Gravis and Multiple Sclerosis. The use of gammaglobulin has become so prevalent that a new nursing specialty certification exam and credentials are in the works.

Although you may not choose to pursue a nursing specialty related to this class of drugs, becoming well versed in its uses and methods of administration can provide you with expanded opportunities for employment, whether full-time in an infusion clinic or home care, or per visit work to supplement your primary job; it can be very lucrative. Believe it or not, nurses knowledgeable in IVIG and SCIG are fairly hard to come by and in demand. Pedagogy provides you with all of the knowledge you need to enter this exciting field.

Pedagogy, and author Pamela Clark, has your up-to-date IGG (Gamma Globulin) education. Our 1.5 hr course is accredited for professional continuing education.

This instructional course has been designed to provide current conceptual and operational knowledge to the licensed nurse interested in the provision of gamma globulin therapy. The understanding and use of gamma globulin has evolved since its entry into mainstream healthcare. For both the RN and LPN/LVN involved in providing this therapy, this course contains current practices for best patient outcomes.

Upon completion of this course, “All About Gamma Globulin”, the participant should be able to: names at least three conditions for which gamma globulin is indicated, demonstrate understanding of gamma globulin administration by recognizing the steps involved in its preparation and infusion, and recognize at least two side effects of gamma globulin infusion.

Pamela Clark, CRNI, is a Nurse Manager for Accredo, a leader in specialty pharmacy care. She has more than 28 years of experience in infusion therapy and infusion education with both licensed nurses and patients. Her experience spans multiple infusion settings including: acute care, long-term care, home infusion, and ambulatory infusion care. She also has experience in oncology and oncology research. Please visit Pedagogy to see all of the valuable health care education that she offers here at Pedagogy
Posted: 8/1/2013 7:00:00 AM
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