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Infusion Therapy
Biologics Delivered by Infusion (Overview)
Biologics are medications made from living organisms or their components—large, complex proteins produced in genetically engineered cells, fundamentally different from chemically synthesized traditional drugs. Common infusion biologic categories include TNF-alpha inhibitors (Remicade, Simponi Aria), interleukin inhibitors (Actemra, Stelara), B-cell depleting agents (Ocrevus, Rituxan), T-cell costimulation blockers (Orencia), integrin blockers (Entyvio, Tysabri), CGRP inhibitors (Vyepti), and immunoglobulin replacement (IVIG). Biologics must often be infused because they're too large to pass through intestinal walls and would be destroyed by stomach acid if swallowed. These targeted therapies work with remarkable precision—binding specific molecules like keys fitting locks—often providing superior disease control with fewer off-target effects than traditional medications working broadly. Benefits include high efficacy (often achieving remission impossible with conventional therapy), targeted action sparing other systems, novel treatment options, disease modification preventing irreversible damage, steroid reduction, and improved quality of life. Challenges include infection risk, infusion reactions, immunogenicity (developing antibodies against the biologic), high cost (though insurance and assistance programs provide access), and administration burden. Biosimilars (highly similar versions after patent expiration) expand access at lower cost.
Infusion Therapy
The Role of Specialty Nurses in Infusion Therapy
Infusion nurses are registered nurses with specialized training in IV therapy, vascular access, and infusion medication administration—many holding CRNI (Certified Registered Nurse Infusion) certification demonstrating advanced expertise. They manage every aspect of your infusion experience: pre-infusion patient assessment (vital signs, medical history review, symptom evaluation), expert IV placement (accessing difficult veins with remarkable skill developed through thousands of placements), medication preparation and administration (performing multiple safety checks, following precise protocols), continuous monitoring during infusion (watching for reactions, checking vital signs, assessing comfort), managing complications (quickly responding to reactions, administering emergency medications if needed), patient education (explaining medications, discussing side effects, answering questions), comprehensive documentation, and collaboration with physicians, pharmacists, and healthcare teams. Specialized skills include advanced vascular access expertise, deep medication knowledge covering hundreds of infusion drugs, rapid reaction recognition distinguishing minor discomfort from serious complications, patient advocacy, and relationship building with patients seen repeatedly over months or years. Many infusion nurses work exclusively in infusion specialty, developing exceptional expertise through focused practice. Their vigilance, skill, and compassion ensure safe, effective, comfortable treatment—they're the primary safeguard protecting patients and the heart of positive infusion experiences.

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