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We have been using in the middle of the upper back. There is some swelling but it all goes away in about an hour after the infusion stops.

B



 


 

> Date: Wed, 19 Aug 2009 13:59:21 -0700
> From: [log in to unmask]
> Subject: Re: hylenex
> To: [log in to unmask]
> 
> We have this on formulary as well. I was the "human" guinea pig for our
> in-service. I received it in my arm. There was not a huge amount of
> swelling and my arm just felt "tight" but not painful. We have yet to
> use it on a patient.
> 
> Lisa Davidson RN, BSN, MA
> Pediatric Clinical Educator
> John C. Lincoln Deer Valley
> ph: 623-879-5483
> pager: 602-709-2028
> email: [log in to unmask]
> 
> The challenges of life can either grind you down or polish you up
> depending upon what you are made of ~ anonymous
> 
> 
> -----Original Message-----
> From: Pediatric Emergency Medicine Discussion List
> [mailto:[log in to unmask]] On Behalf Of don zweig
> Sent: Wednesday, August 19, 2009 1:41 PM
> To: [log in to unmask]
> Subject: Re: hylenex
> 
> So you just infuse subcutaneously? Give the hylenex first then infuse 
> fluids that get absorbed and there is not a huge amount of swelling 
> deformity?
> 
> don
> On Aug 19, 2009, at 1:23 PM, brian sanders wrote:
> 
> > We are studying this product here in Atlanta and already have it on 
> > formulary at one of our hospitals and are working on getting it on 
> > formulary at another. It is a surprising good product and we have 
> > been pleased with the results. All of the parents love it. It is not 
> > meant to be an alternative to po rehydration, but rather iv 
> > rehydration. It takes one nurse, one stick, about 2 minutes from 
> > start to finish, compared to average of 2 nurses, 2 sticks, 20 
> > minutes. You can bolus 20 cc/kg with no problem, run maintenence 
> > fluids, etc. I believe you can give rocephin as well. I think it 
> > costs about 85 dollars for an application and we have been getting 
> > fully reimbursed by Medicaid and private insurers.
> >
> >
> >
> >
> >
> >
> >
> >> Date: Wed, 19 Aug 2009 14:11:41 -0400
> >> From: [log in to unmask]
> >> Subject: Re: hylenex
> >> To: [log in to unmask]
> >>
> >>
> >>
> >> Here's a start See attachments Deborah
> >>
> >> This is very interesting. Can someone forward me some articles,
> >> references, and/ or protocols so I can look at the possibility of 
> >> using this at our
> >> institution.
> >>
> >>
> >>
> >> Jason
> >>
> >>
> >>
> >>
> >> Jason A. Foland, MD
> >> Pediatric Critical Care Physician
> >> Nemours Children's Clinic
> >> www.nemours.org
> >> Medical Director, Pediatric Respiratory Therapy
> >> Sacred Heart Women & Children's Hospital
> >> www.sacred-heart.org
> >> Pensacola, Florida
> >> [log in to unmask]
> >>
> >>
> >>
> >>
> >>
> >>> Date: Wed, 19 Aug 2009 10:39:35 -0500
> >>> From: [log in to unmask]
> >>> Subject: Re: hylenex
> >>> To: [log in to unmask]
> >>>
> >>> How about Amphadase? It is cheaper.
> >>> Bovine vs Hamster...
> >>> Any comments?
> >>>
> >>>
> >>> -----Original Message-----
> >>> From: Pediatric Emergency Medicine Discussion List
> >>> [mailto:[log in to unmask]] On Behalf Of Peter Antevy
> >>> Sent: Tuesday, August 18, 2009 12:08 PM
> >>> To: [log in to unmask]
> >>> Subject: Re: hylenex
> >>>
> >>> Bob, we've created a hylenex protocol and have started using it in 
> >>> our
> >>> ED. It's simple and easy and a great alternative to have. You can
> >>> infuse the usual 20 per kg NS bolus rapidly just the same as via IV.
> >>> Also it takes 3 minutes and one person to start rather than 2-3 
> >>> nurses
> >>> and 30 minutes.
> >>>
> >>> Peter
> >>>
> >>> -----Original Message-----
> >>>
> >>> From: BOB BELFER <[log in to unmask]>
> >>> Subj: hylenex
> >>> Date: Tue Aug 18, 2009 12:28 pm
> >>> Size: 1K
> >>> To: [log in to unmask]
> >>>
> >>> Anyone with any experience with below?
> >>> thanks,
> >>>
> >>>
> >>
> >>
> >>
> >>
> >>
> >> Deborah Ann Mulligan, MD FAAP FACEP
> >> Institute for Child Health Policy, Director
> >> Professor Pediatrics, COM
> >> American Academy of Pediatrics, Chair-elect Council on 
> >> Communications &
> >> Media
> >> Nova Southeastern University
> >> 3200 S. University Drive, Suite 1212 HPD-EXEC
> >> Fort Lauderdale, Florida 33328
> >> 954.262.1940
> >> FAX: 954.262.3263
> >> [log in to unmask]
> >> _www.nova.edu/ichp_ (http://www.nova.edu/ichp)
> >>
> >> For more information, send mail to [log in to unmask] with 
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