Our Services

Serving Los Angeles, Orange, Ventura, Riverside County

Our Nursing Infusion Services

Chemotherapy

Chemo is a type of treatment that includes a drug or combination of drugs to treat cancer. The goal of chemo is to stop or slow the growth of cancer cells. Chemotherapy is used most often to describe drugs that kill cancer cells directly. These are sometimes referred to as “anti-cancer” drugs or “antineoplastics.”

Common Diagnosis
- Malignant neoplasms
Common Drugs
- Fluorouracil (5FU)
Method of Administration (IV, subq, etc).
- IV
Average length of therapy
- Up to one year

Nausea Treatment

Antiemetic therapy is to prevent nausea and vomiting. Antiemetics are typically used to treat motion sickness and the side effects of chemotherapy.

Common Diagnosis
- Nausea and vomiting
Common Drugs
- Ondansetron
- Granisetron
Method of Administration (IV, subq, etc).
- IV
Average length of therapy
- In conjunction with the primary therapy. Most infusions range from 10 minutes to 1 hour.

Anti-Muscle Spasm Treatment

Therapy that decreases gut contraction and spasm. These drugs work by blocking the effects of the parasympathetic branch of the autonomic nervous system.

Common Diagnosis
- Spasticity
- Spastic cerebral palsy
Common Drugs
- Baclofen
Method of Administration (IV, subq, etc).
- Drug is filled into an implantable pump
Average length of therapy
- Long term, > one year

Anti-infective, Antifungal, Antiviral Therapy

Antibiotics are widely used in the prevention and treatment of infectious diseases. Antibiotics are produced by various microorganisms and fungi which inhibit the growth of or destroy bacteria and other microorganisms.

Common Diagnosis
- Cellulitis/Bacteremia/Osteomyelitis
Common Drugs
- Vancomycin, Daptomycin, Caspofungin, Ceftriaxone
Method of Administration (IV, subq, etc).
- IV
Average length of therapy
- 2 – 6 weeks
- Infusion typically infuse 30 minute but can also be required to infuse around the clock/continuously

Enteral Nutrition

Enteral nutrition generally refers to any method of feeding that uses the gastrointestinal (GI) tract to deliver part or all of a person’s caloric requirements. The feeding is delivered directly into the gut via a tube.

Common Diagnosis
- Dysphagia
- Failure to thrive
- Malnutrition
Common Formulas
- Osmolite, Peptamen, Nutren
Method of Administration
- Nasogastric tube
- Jejunostomy tube
- Gastrostomy tube
Average length of therapy
- May be short as 3 months, usually lifetime

Biologic/Immunotherapy -IVIG

Human immune globulin & Biologic therapy is used for the treatment of immunodeficiency, prophylaxis of infectious diseases, and in the management of a variety of other inflammatory and autoimmune disorders.

Common Diagnosis
- Common variable immunodeficiency
- Chronic inflammatory demyelinating polyneuritis
- Hypogammaglobulinemia
- Lupus
- GI Disorders
- Thyroid Eye Disease
- Myasthenia Gravis
Common Drugs
- Gammagard, Gamunex, Cytogam, Octagam, Hizentra, HyQvia,Benlysta
Method of Administration (IV, subq, etc).
- SQ, IV
Average length of therapy
- 3 month- > 1 year

Hydration/ Vitamin Therapy

Hydration therapy is the infusion of fluids directly into the bloodstream. By using IV delivery, 100% of the administered dose of nutrients, vitamins, minerals and fluids is absorbed immediately on a cellular level. Hydration is commonly used in conjunction with chemotherapy therapies or for pregnancies causing prolonged emesis.

Common Diagnosis
- Dehydration
Common Drugs
- Normal saline with additives
Method of Administration
- IV
Average length of therapy
- Few weeks; many times hydration is ordered as needed, one to two times per week.

Anti-Tumor Necrosis Factor Therapy

A class of drugs that are used to treat inflammatory conditions such as rheumatoid arthritis (RA), psoriatic arthritis, juvenile arthritis, inflammatory bowel disease (Crohn’s and ulcerative colitis), ankylosing spondylitis and psoriasis. These drugs are able to reduce inflammation and stop disease progression.

Common Diagnosis
- Regional enteritis
Common Drugs
- Remicade
Method of Administration (IV, subq, etc).
- IV
Average length of therapy
- 6 months

IV Catheter Care

Catheter Care Therapy/ Insertion Services

Tunneled catheters and implanted ports are the other types of central venous catheters, which are tubes threaded through veins to a spot near the heart for the purposes of giving medications. Tunneled catheters and implanted ports are typically left under the skin to keep them in place and require flushing periodically with saline solution or clot-inhibiting medication.

A Registered nurse will insert an IV as needed
Weekly Sterile dressing changes for central Lines (Picc's & ports)
Peripheral IV change every 72-96 hrs

Inotropic Therapy

Inotropic therapy makes an injured or weakened heart pump harder. It’s used to make the heart muscle’s contractions stronger. It may also speed the heart’s rhythm.

Common Diagnosis
- Cardiomyopathies
- Heart failure
Common Drugs
- Dobutamine, Milrinone
Method of Administration (IV, subq, etc).
- IV
Average length of therapy
- Maybe short term while waiting for heart transplant
- Maybe long term if surgery is not an option

Pulmonary Arterial Hypertension

Pulmonary arterial hypertension (PAH) is a rare, progressive disorder characterized by high blood pressure (hypertension) in the arteries of the lungs (pulmonary artery) for no apparent reason. The pulmonary arteries are the blood vessels that carry blood from the right side of the heart through the lungs.

Common Diagnosis
- Pulmonary Hypertension
Common Drugs
- Treprostinil, Epoprostenol
Method of Administration (IV, subq, etc).
- IV
Average length of therapy
- Usually long term, > 1 year

Total Parenteral Nutrition (TPN)

TPN is receiving nutrients intravenously. TPN bypasses the digestive system entirely and goes directly into the bloodstream, where the nutrients are absorbed.

Common Diagnosis
- Malabsorption
- Dysphagia
Common Drugs
- Amino Acids, Travasol
Method of Administration (IV, subq, etc).
- IV
Average length of therapy
- Maybe short term, i.e., 6 weeks, but most often it is for lifetime