Infusion Logs

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IVIG Infusion Log - DALDownload Icon IVIG Infusion Log - RTXDownload Icon IVIG Infusion Log - TCADownload Icon
Subcutaneous Infusion Log - DALDownload Icon Subcutaneous Infusion Log - RTXDownload Icon Subcutaneous Infusion Log - TCADownload Icon

Why You Should Track Your Treatments

LOG INSTRUCTIONS BELOW



The practice of logging your Immune Globulin (IgG) infusions is a very useful component to helping you communicate with your healthcare team. Your healthcare team wants you to achieve the highest level of success and outcomes from your immune globulin treatments. Keeping track of infusion information can help your physician manage your treatment plan. Kroger Specialty Infusion has developed comprehensive, easy to use infusion logs for IVIG and Subcutaneous (SCIG) treatment methods.



Track your infusions after every treatment. Take your log book with you when go to your doctor’s appointments. The information will help you have an enhanced visit with your doctor.

The Kroger Specialty Infusion infusion logs capture valuable information:
  • The Brand of IgG You Infused
  • The Lot Number and Expiration Date of the Product
  • The Date of the Infusion
  • The Date of Your Next Infusion (IVIG only)
  • The Dosage of the Infusion
  • Tracking of Infusion Sites (SCIG)
  • Tracking of IV Access Sites
  • Any Reactions that You Had
  • Your Overall Health “How Do I feel Today”
  • A Place to Keep a Health Diary on Issues That Are Positive or Negative
  • Keep Track of Labs Results, Doctor Visits, New Medications and Other Important Information
Follow the steps for completing the IVIG log below:
  • Enter the date of the infusion.
  • Capture the product information, lot number and expiration date. Hint: You can peel off the label from the vial and affix it onto log.
  • Note quantity infused. Either ML’s or Grams or both.
  • Note where the IV was inserted in the IV Site box. This will help you to note veins that are great to use or those that you want to avoid using.
  • Note the rate of the infusion. Your nurse can give you this information. You may have several rates if you are starting out slow and increasing the rate.
  • Note the time it took to complete the infusion in the hours of infusion box.
  • List any adverse reactions and list any pre or post medications needed with the infusion to alleviate any side effects. Be sure to notify your healthcare provider right away if you experience any side effects during or after your infusion.
  • Rate your overall health today. This is so valuable for you and your doctor to get a good picture of your overall health by averaging your health ratings over a period of time.
  • Make a diary journal entry on any health issues or positive health improvements since your last infusion.
  • Discuss the next infusion date with your nurse and enter the date.
  • You can keep track of labs results, Dr. visits, new medications and other important information on the bottom of the log page.
Follow the steps for completing the SCIG log below:
  • Enter the date of the infusion.
  • Capture the product information, lot number and expiration date. Hint: You can peel off the label from the vial and affix it onto log.
  • Note quantity infused. Either ML’s or Grams or both.
  • Number your infusion sites on the body diagram(s). Note the infusion site numbers in the Site(s) box. This will help you track your infusion sites to ensure proper site rotation.
  • Note the rate of the infusion (ML’s per hour) or the number on the rate flow tube (The tube that attaches to the syringe).
  • Note the time it took to complete the infusion in the hours of infusion box.
  • List any adverse reactions including any site reactions and list any pre or post medications needed with the infusion to alleviate any side effects. Be sure to notify your healthcare provider right away if you experience any side effects during or after your infusion.
  • Rate your overall health today. This is so valuable for you and your doctor to get a good picture of your overall health by averaging your health ratings over a period of time.
  • Make a diary journal entry on any health issues or positive health improvements since your last infusion.
  • You can keep track of labs results, Dr. visits, new medications and other important information on the bottom of the log page.