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Jan Rayl, ${data.resumes.primaryResume.title.value},

Last Update

2014-05-23T00:00:00.000Z

This profile was last updated on . .

Background Information

Employment History

Home IV Nurse

INOVA-VNA

Contributor

Advance for Providers of Post-Acute Care

Education

Bachelor of Science of Nursing
Nursing
University of Virginia

Certifications

CRNI
INS

Web References (9 Total References)


ADVANCE for Providers of Post-Acute Care | Editorial

www.advanceforpac.com [cached]

By Jan Rayl, BSN, RN

Editor's Note: Part 1 of this article describes TPN, when it is indicated and what it consists of.Part 2 discusses complications, troubleshooting and education of TPN home care patients and their families.
...
Jan Rayl is a home IV nurse with INOVA-VNA, Alexandria, VA.
Table: Indications for TPN
Small bowel disease or resection (>70 percent resected) Moderate to severe pancreatitis Crohn's disease Sepsis


ADVANCE For Providers of Post-Acute Care Online | Past Onlince Articles

www.advanceforpac.com [cached]

By Jan Rayl, BSN, RN

...
She had worked at the airport as a reservations agent for a major airline and was anxious about being away from work for so long.Her husband owned a small business and worked long hours.Their children were 16 and 17 and in high school.
Carrie had a bout of pancreatitis 10 years ago, which cleared up after a week in the hospital receiving IV fluids.However, with this latest flare-up she was in the hospital for 2 weeks and the latest MRI and CT scan still show that the cyst is 12 cm by 9 cm.Carrie had a pancreatic drain in place requiring irrigation with normal saline twice a day to keep the tubes open.She was to be npo except for sips of water.
...
Jan Rayl is a home IV nurse with INOVA-VNA, Alexandria, VA.
Table: Indications for TPN
Small bowel disease or resection (>70 percent resected) Moderate to severe pancreatitis Crohn's disease Sepsis


ADVANCE For Providers of Post-Acute Care Online | Feature

www.advanceforpac.com [cached]

By Jan Rayl, BSN, RN

...
Jan Rayl is a home IV nurse with INOVA-VNA, Alexandria, Va, who has been specializing in home health for the past 14 years.
Table Metabolic Complications Hyperglycemia Not much of a problem with continuous TPN but occurs frequently with cycled TPN.Signs and Symptoms: Blood sugar over 250 mg/dL.Polyuria, polydipsia, polyphagia, "fruity" breath, confusion, irritability and coma.


ADVANCE For Providers of Post-Acute Care Online | Feature

www.advanceforpac.com [cached]

( Editor's Note : In Part 1 Jan Rayl described total parental nutrition , when it is indicated and what it consists of.In Part 2 , presented here , she discusses complications , troubleshooting and patient education of TPN home care patients and their families. ).

By Jan Rayl , BSN , RN
...
Jan Rayl is a home IV nurse with INOVA-VNA , Alexandria , Va , who has_been specializing in home health for the past 14 years.
TableMetabolic ComplicationsHyperglycemiaNot much of a problem with continuous TPN but occurs frequently with cycled TPN.Signs and Symptoms : Blood sugar over 250 mg/dL.Polyuria , polydipsia , polyphagia , fruity breath , confusion , irritability and coma.


Find Your Local Chapter - Infusion Nurses Society

www.ins1.org [cached]

Jan Rayl, BSN, CRNI ®

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