Jan Rayl,
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This profile was last updated on 5/23/14 and contains information from public web pages.
User Verified.
 
Background

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
9 Total References
Web References
ADVANCE for Providers of Post-Acute Care | Editorial
www.advanceforpac.com, 5 Dec 2002 [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, 16 July 2002 [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, 22 May 2002 [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, 22 Mar 2001 [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, 24 July 2010 [cached]
Jan Rayl, BSN, CRNI ®
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