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This profile was last updated on 5/23/2014 and contains contributions from the  Zoominfo Community.

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Jan Rayl

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I agree to the Terms of Service and Privacy Policy. I understand that I will receive a subscription to ZoomInfo Community Edition at no charge in exchange for downloading and installing the ZoomInfo Contact Contributor utility which, among other features, involves sharing my business contacts as well as headers and signature blocks from emails that I receive.

Background Information

Employment History

Home IV Nurse

INOVA-VNA


Contributor

Advance for Providers of Post-Acute Care


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 , RNJan 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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