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INTRAVENOUS IMMUNE GLOBULIN (IVG). REAUTHORIZATION REQUEST FORM. HARTFORD REAUTHORIZATION DEPARTMENT- PHONE- 877-725- 6525 ...
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How to fill out intravenous immune globulin ivig

How to fill out intravenous immune globulin ivig:
01
Wash your hands thoroughly with soap and water before starting the process.
02
Gather all the necessary supplies, including the IVIG medication, infusion pump, sterile infusion set, alcohol swabs, gloves, and waste container.
03
Check the expiration date and integrity of the IVIG medication. If you notice any discoloration or particles, do not use it and contact your healthcare provider.
04
Assemble the infusion pump according to the manufacturer's instructions and prime the tubing with the IVIG medication.
05
Choose a suitable infusion site, typically a large vein in the arm, and clean the area with an alcohol swab. Allow it to dry.
06
Put on disposable gloves to maintain a clean and sterile environment during the procedure.
07
Attach the sterile infusion set to the IVIG medication, ensuring the connections are secure.
08
Slowly insert the IV catheter or needle into the chosen site, following proper technique, and secure it in place with tape or a dressing.
09
Begin the infusion pump at the prescribed rate as directed by your healthcare provider. It is generally started slowly and gradually increased.
10
Monitor the infusion site and your overall well-being during the infusion. Report any signs of discomfort, allergic reactions, or adverse effects to your healthcare provider immediately.
11
Once the infusion is complete, carefully remove the IV catheter or needle and apply pressure to stop any bleeding. Dispose of all used supplies in a designated waste container.
12
Clean the infusion site with an alcohol swab and cover it with an adhesive bandage if necessary.
13
Document the procedure in your medical records, noting the date, time, dose, infusion rate, and any observations made during the infusion.
14
Follow up with your healthcare provider as scheduled for any further instructions or monitoring.
Who needs intravenous immune globulin ivig:
01
Individuals with primary immunodeficiency disorders, such as common variable immunodeficiency or severe combined immunodeficiency, who are unable to produce enough antibodies to fight off infections.
02
Patients with certain autoimmune disorders, including immune thrombocytopenic purpura, dermatomyositis, or chronic inflammatory demyelinating polyneuropathy, where IVIG helps modulate or suppress the overactive immune response.
03
People with specific infections or diseases, such as Kawasaki disease or graft-versus-host disease, where IVIG is used as an adjunctive therapy to boost the immune system or modify the immune response.
04
Individuals undergoing bone marrow or solid organ transplantation to prevent or treat infection.
05
Patients with antibody deficiencies caused by certain medications, such as chemotherapy drugs or immunosuppressants, which weaken the immune system.
06
Those with certain neurological disorders, such as multifocal motor neuropathy or stiff person syndrome, where IVIG helps in reducing symptoms and improving function.
07
Pregnant women who have certain antibody-related complications or fetal immune deficiencies, as IVIG can provide passive immunity to the unborn baby.
08
Other conditions or diseases, as determined by a healthcare provider based on individual assessment and medical history.
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What is intravenous immune globulin ivig?
Intravenous immune globulin (IVIG) is a treatment made from donated human blood that helps the immune system function properly.
Who is required to file intravenous immune globulin ivig?
Patients receiving IVIG treatment and their healthcare providers are required to file information about IVIG administration.
How to fill out intravenous immune globulin ivig?
IVIG information can be filled out by healthcare providers who administer the treatment or by patients who receive it.
What is the purpose of intravenous immune globulin ivig?
The purpose of IVIG is to provide antibodies to boost the immune system in individuals with immune deficiencies or autoimmune diseases.
What information must be reported on intravenous immune globulin ivig?
Information such as dosage, administration date, patient's name, and healthcare provider's information must be reported on IVIG forms.
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