Sharon Hudson she/her/they
@sharonhudson.bsky.social
'The one with the curly hair'
Palliative Care Lead Nurse, hoping and acting for equity in life and work 🏳️🌈
Masters in Research/ Breathlessness
Mum of boys and 🐕, reader, gardener, traveller 😴
UK
Palliative Care Lead Nurse, hoping and acting for equity in life and work 🏳️🌈
Masters in Research/ Breathlessness
Mum of boys and 🐕, reader, gardener, traveller 😴
UK
Reposted by Sharon Hudson she/her/they
Sorry for such a longwinded answer!!!
It's just that I'm pleased you're looking at it because I'm really keen that we move away from these practices; needles hurt, and it's unnecessary to put in separate PRN lines and/or 2nd pumps for a 4th drug etc.
It's just that I'm pleased you're looking at it because I'm really keen that we move away from these practices; needles hurt, and it's unnecessary to put in separate PRN lines and/or 2nd pumps for a 4th drug etc.
June 21, 2025 at 11:42 AM
Sorry for such a longwinded answer!!!
It's just that I'm pleased you're looking at it because I'm really keen that we move away from these practices; needles hurt, and it's unnecessary to put in separate PRN lines and/or 2nd pumps for a 4th drug etc.
It's just that I'm pleased you're looking at it because I'm really keen that we move away from these practices; needles hurt, and it's unnecessary to put in separate PRN lines and/or 2nd pumps for a 4th drug etc.
Reposted by Sharon Hudson she/her/they
The other main change in the updated CSCI chapter was removal of the "don't mix more than 3 drugs" advice. It's completely baseless and there's now a wealth of 4, 5 and 6 drug compatibility data
June 21, 2025 at 11:33 AM
The other main change in the updated CSCI chapter was removal of the "don't mix more than 3 drugs" advice. It's completely baseless and there's now a wealth of 4, 5 and 6 drug compatibility data
Reposted by Sharon Hudson she/her/they
Therfore, PCF chapter on CSCI updated it's advice last year to say "side ports can be used provided compatibility is considered"
Just to add, I've routinely used side ports for years without problem: some patients find SC cannula placement painful and we have no reason to put in a separate PRN line
Just to add, I've routinely used side ports for years without problem: some patients find SC cannula placement painful and we have no reason to put in a separate PRN line
June 21, 2025 at 11:32 AM
Therfore, PCF chapter on CSCI updated it's advice last year to say "side ports can be used provided compatibility is considered"
Just to add, I've routinely used side ports for years without problem: some patients find SC cannula placement painful and we have no reason to put in a separate PRN line
Just to add, I've routinely used side ports for years without problem: some patients find SC cannula placement painful and we have no reason to put in a separate PRN line
Reposted by Sharon Hudson she/her/they
Reason it has so little impact is that the PRN effectively pushes a bolus of the CSCI admixture thru, which offsets the 30minute or so time that the infusion is effectively suspended (ie time taken for more admixture to make its way thru the deadspace)
June 21, 2025 at 11:27 AM
Reason it has so little impact is that the PRN effectively pushes a bolus of the CSCI admixture thru, which offsets the 30minute or so time that the infusion is effectively suspended (ie time taken for more admixture to make its way thru the deadspace)
Reposted by Sharon Hudson she/her/they
Even midazolam (halflife can be as short as 1hr) would only drop to 95% of it's steady state level using a safeTintima (the deadspace affects the calculation)
June 21, 2025 at 11:24 AM
Even midazolam (halflife can be as short as 1hr) would only drop to 95% of it's steady state level using a safeTintima (the deadspace affects the calculation)
Reposted by Sharon Hudson she/her/they
Secondly, a concern that the PRN bolus interfered with the levels of the infused drug.
If you email me, I can send you a spreadsheet that models this. But in short, we don't use anything with a short enough halflife to matter.
If you email me, I can send you a spreadsheet that models this. But in short, we don't use anything with a short enough halflife to matter.
June 21, 2025 at 11:23 AM
Secondly, a concern that the PRN bolus interfered with the levels of the infused drug.
If you email me, I can send you a spreadsheet that models this. But in short, we don't use anything with a short enough halflife to matter.
If you email me, I can send you a spreadsheet that models this. But in short, we don't use anything with a short enough halflife to matter.
Reposted by Sharon Hudson she/her/they
Firstly, compatibility Deciding whether the PRN can mix with the infusion is fairly straightforward both for specialists (who are used to doing it) and to generalists (providing their standard 4 JIC drugs don't include cyclizine - a good reason to avoid it, plus alternatives double up for agitation)
June 21, 2025 at 11:20 AM
Firstly, compatibility Deciding whether the PRN can mix with the infusion is fairly straightforward both for specialists (who are used to doing it) and to generalists (providing their standard 4 JIC drugs don't include cyclizine - a good reason to avoid it, plus alternatives double up for agitation)
Reposted by Sharon Hudson she/her/they
Traditionally, some steered clear of the side port due to 2 considerations (though unnecessarily, in my view).
June 21, 2025 at 11:19 AM
Traditionally, some steered clear of the side port due to 2 considerations (though unnecessarily, in my view).
Thank you! Makes a lot of sense. Updating our guidelines but seems to have been previously based on best guess and legend. Really grateful
June 21, 2025 at 12:16 PM
Thank you! Makes a lot of sense. Updating our guidelines but seems to have been previously based on best guess and legend. Really grateful
What a way to end the week. Wonderful.
May 9, 2025 at 11:32 PM
What a way to end the week. Wonderful.
Always a joy to work with you @gemmaallen.bsky.social
March 27, 2025 at 6:57 PM
Always a joy to work with you @gemmaallen.bsky.social