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HQ Home Infusion

Receive home infusion therapy with guidance from our skilled pharmacists and home health staff.
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  • Antibiotics

  • TPN/Tube Feeding

  • Immunology

  • Cardiology

  • Hemophilia

  • FAQ

Antibiotics

Antibiotics / Anti-infective Therapy

Antibiotic or anti-infective therapy is one of the most common infusion therapies prescribed by physicians. It is used to treat infections that are not responding to oral medication. In these instances, the immune system is unable to kill off pathogenic microorganisms that grow and lead to infectious disease.

Intravenous therapy is prescribed in these instances. Common infections requiring infusion medication include:

  • Abscesses
  • Cellulitis
  • Chronic urinary tract infections
  • HIV
  • MRSA
  • Osteomyelitis
  • Pancreatitis
  • Pneumonia
  • Post-transplant
  • Sepsis
  • Wound infections

We ensure close monitoring and consistent patient care

At HealthQuest, we understand that some individuals may require long-term antibiotic infusion treatment. We monitor our patients closely throughout the infusion process, working with them on a one-on-one basis according to their individual needs.

With support from clinical experts, quality care in therapy management by our pharmacists, and RNs, and 24/7 access to our staff for questions and concerns, we strive to help patients feel good on an everyday basis.

 

TPN/Tube Feeding

TPN vs Tube Feeding: how do they differ?

Total Parenteral Nutrition (TPN) is the delivery of calories and nutrients through the vein. It can include anything from carbohydrates, proteins, and sugars, to electrolytes, vitamins and trace elements like copper or zinc. Tube Feeding—also called Enteral Nutrition—refers to all methods in which nutrients and other caloric intake are delivered to a patient using the gastrointestinal tract using a feeding tube.

Who benefits from TPN and Tube Feeding?

TPN is most often used for patients with crohn’s disease, cancer, short bowel syndrome, or ischemic bowel disease. However, critically ill patients who cannot receive nutrition orally for more than four days are also candidates for TPN. Other indications that TPN should be used include patients with severe pancreatitis, paralytic ileus, intractable vomiting, diarrhea, and high-output fistula.


TPN is also highly common among children and teenagers. Children who are on TPN may have short bowel syndrome; also, many children who are on the waiting list for an intestinal transplant are on TPN.In these conditions, it becomes difficult for the gastrointestinal (GI) tract to process and digest food properly. Sometimes normal food intake can also cause extreme pain and discomfort. In these instances, nutrients can be delivered through infusion, or through a tube.

How a specialty pharmacy can help

At HealthQuest we understand that patients with Crohn's Disease and other chronic abdominal illnesses experience a challenging lifestyle. In addition to providing comfort and attentive care, we customize treatment with each patient's individual nutrition and fluid needs, helping them get accustomed to alternative sources of nutrition. 

With support from clinical experts, quality care in therapy management by our pharmacists, and RNs, and 24/7 access to our staff for questions and concerns, we strive to help patients feel good on an everyday basis.

Immunology

What are IVIg and SCIg? 

Intravenous immunoglobulin G (IVIg) is a sterile, purified preparation made from stabilized human plasma. IVIg is administered through the vein. When administered under the skin (subcutaneously), it is called SCIg. Both are often recommended as a treatment option for people with autoimmune disorders or immune deficiencies. 

What conditions are treated with IVIg? 

The Food and Drug Administration (FDA) approves IVIg therapy for these conditions: 

  • Primary Immune Deficiency Disease (PIDD) 
  • Immune-mediated thrombocytopenia 
  • Kawasaki syndrome 
  • Recent bone marrow transplantation (in patients aged ≥ 20 yrs) 
  • Chronic B-cell lymphocytic leukemia
  • Pediatric human immunodeficiency virus type 1 (HIV-1)* 

*Other conditions where IVIg may be prescribed by physicians include: Idiopathic Thrombocytopenic Purpura (ITP); Acute lymphoblastic leukemia; Adult HIV; Multiple sclerosis; Guillain-Barré Syndrome; Chronic inflammatory demyelinating polyneuropathy

How does IVIg/SCIg work for chronic disease?

The body uses antibodies to recognize and neutralize foreign agents like bacteria and viruses, and to regulate immune responses. For conditions like autoimmune diseases, the body's immune system attacks its own muscles, nerves or skin. In other cases, the immune system may not be able to generate the antibodies needed to combat diseases. When this happens, IVIg/SCIg can be used to replace antibodies enabling the body to defend itself against infections again. 

We aim for a better quality of life for patients

HealthQuest manages its patients' treatment with personalized care, regular monitoring and evaluation, patient education and support from our pharmacy staff, and attention to individual needs, customizing a clear and appropriate path to infusion therapy. 

With support from clinical experts, quality care in therapy management by our pharmacists and RNs, and 24/7 access to our staff for questions and concerns, we strive to help patients feel good on an everyday basis. 

Cardiology

At-home Inotropic Infusion Treatments

HealthQuest offers a variety of home infusion therapy treatments for patients with severe cardiac malfunctioning or failure. Inotropic infusions are used to help manage symptoms of congestive heart failure, cardiomyopathy, high blood pressure (hypertension), chronic heart failure, abnormal heart rhythms (arrhythmias), and provide needed relief for patients’ daily activities. 

How does inotropic therapy work? 

Inotropes are specialty medications used when other drugs no longer control symptoms of cardiac failure or distress. Inotropic therapy involves using inotropes to influence the strength and speed of the heart’s contractions. Positive inotropes strengthen heart contractions, so it can pump more blood with each heartbeat. Negative inotropes weaken heart contractions and slow the heart rate. 
 HealthQuest provides the following inotropic home infusion therapy treatments: 

  • Dobutrex (dobutamine)
  • Primacor (milrinone)
  • Dopamine

Hospital-to-home, the details are on us

When you are discharged from in-patient care with an inotropic medication, an HQRX home health nurse will provide specific directions on intravenous (IV) care and how to use your catheter and/or infusion pump. You will receive educational materials on your condition, medications and treatment as well as training on how to self-administer your home infusion therapy. 

Of course, if you have any questions regarding your home infusion therapy you can contact our 24/7 hotline any time to speak with our staff for care management, support counseling and medically informed advice. Simply call 832-612-3500.

Hemophilia

What is Hemophilia?

Hemophilia is a bleeding disorder in which blood cannot clot properly because of missing blood-clotting proteins, also referred to as clotting factors. This can cause a person to bleed much more severely after injuries or surgical procedures than usual. Hemophilia mostly affects male children, and in some cases female may exhibit symptoms. 

How is Hemophilia treated?

The main way to treat hemophilia is to replace the missing clotting factor with treatment concentrates called clotting factor VIII and clotting factor IX for hemophilia A and B respectively. This is done by injecting the clotting factor intravenously. This kind of infusion therapy is often called replacement therapy, and it helps substitute the missing or insufficient clotting factor.

We focus on your health and safety

Hemophilia is a complex condition that needs very careful monitoring. One of the serious complications of hemophilia is internal bleeding which can include bleeding in the joint and in the brain. Additionally, there can be complications within treatment as well: the body can form antibodies that don’t allow the clotting factor to work; infections can develop; and there can be damage to muscles and joints. 

At HealthQuest, our understanding of these factors is what drives the quality of our care. We are precise and vigilant when it comes to patients with sensitive conditions like hemophilia. We carefully and constantly monitor our patients in order to make sure any possible complications can be addressed on an immediate basis.

With support from clinical experts, quality care in therapy management by our pharmacists, and RNs, and 24/7 access to our staff for questions and concerns, we strive to help patients feel good on an everyday basis.

FAQ

FAQ

Infusion therapy services involve the intravenous (IV) administration of medications that treat a wide range of acute and chronic health conditions. It often means the patient will experience better results, because infusion therapy directly administers medication into the bloodstream. It is usually prescribed when a patient’s condition cannot be treated with oral medication. HealthQuest Infusion & Specialty provides infusion therapy to patients in the comfort of their own home or on-site at our world-class infusion center. Our services include the clinical management of drug therapies, nursing support, and care coordination.
Home infusion therapy is a proven, safe, and effective alternative to hospital inpatient care. It can provide comfort and convenience for patients and offers less interruption to their daily activities. It can also be a cost-effective alternative to expensive hospital stays.
HealthQuest Infusion & Specialty offers a wide range of home infusion therapies, including but not limited to:

  • Anti-infective (ABX, antibiotic, antifungal, antiviral therapy)

  • Nutrition support therapy and tube feeding (total parenteral nutrition and enteral nutrition)

  • Intravenous and subcutaneous immunoglobulin G therapy (IVIg and SCIg) 

  • Inotropic/Cardiac 

  • Biologic

  • Remicade and Entyvio

Please call HealthQuest anytime at 832-612-3500 for 24/7 guidance and support regarding the setup, administration, and medication regimen for your home infusion therapy.
Infusion therapy can be used to treat a wide range of acute and chronic health conditions, including many types of infectious diseases, nutritional/gastrointestinal disorders, cancers,  hematological disorders, heart conditions, immunodeficiencies, and autoimmune disorders. HealthQuest offers infusion therapy treatments for all of the following:

  • Severe dehydration

  • Hemophilia

  • Crohn’s Disease

  • Rheumatoid Arthritis

  • Heart failure

  • Primary Immune Deficiency Disease (PIDD)

  • Pulmonary Arterial Hypertension (PAH)

  • Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)

  • Multiple Sclerosis (MS)

  • Acute lymphoblastic leukemia

  • Complications following bone marrow transplant

  • Ulcerative Colitis

  • Ankylosing Spondylitis

  • Severe or disabling plaque psoriasis

  • Kawasaki Disease

  • Immune Thrombocytopenic Purpura (ITP)

  • Multifocal Motor Neuropathy

  • Systemic Lupus Erythematosus

  • Inflammatory bowel disease

  • Guillain-Barre Syndrome

  • Graves’ Disease

  • Myasthenia Gravis

  • Myositis

  • Abscesses

  • Cellulitis

  • Chronic urinary tract infections

  • HIV/AIDS

  • Hepatitis C

  • MRSA

  • Osteomyelitis

  • Pancreatitis

  • Pneumonia

  • Post-transplant care

  • Sepsis

  • Wound infections

  • Fertility issues
While most patients report mild to non-existent side effects, you could experience some of the symptoms listed below following your treatment. If you are currently on medication to control your blood pressure, your doctor may recommend that you stop taking it prior to your first infusion therapy treatment.

General side effects of infusion therapy treatment should subside within 24 hours, however you could experience:
  • Slight drop in blood pressure

  • Dizziness

  • Nausea and/or upset stomach

  • Muscle stiffness

  • Sweating

  • Flu-like symptoms

  • Neck and back pain
The decision to receive home infusion therapy is made between you and your physician. Several factors are considered before receiving infusion therapy in the home, including your and/or your caregiver’s desire and willingness to comply with therapy and the presence of a safe and appropriate home environment.

Before you’re discharged from the hospital, a HealthQuest team member will reach out to you to go over details. Some of the questions we’ll ask: Do you prefer your medication delivered to the hospital or to your home? From there, we will schedule delivery, providing you with an arrival time window to make sure you’re prepared. We know it can be stressful getting settled after a stay in the hospital.

Prior to discharge, you will also receive support from our team of clinicians and/or support staff who will provide patient and caregiver education and training. 

The medication will be delivered to you and will be administered by an experienced infusion therapy nurse 24 hours after discharge. Prior to 24 hours, or if your prescription requires you to have a dose at home, you or the caregiver will then administer.

Yes! Our state-of-the-art infusion therapy devices are lightweight and portable, requiring only a backpack, purse, or a pocket for transport. The HealthQuest pharmacy has the capability to support all of your home infusion needs while traveling anywhere within the U.S.

HealthQuest is not allowed to take medicine back once it has been dispensed, however discontinued/leftover specialty medications may be brought to a local pharmacy collection program or a hazardous waste collection for proper discarding.

You may ask your home health nurse if you can donate your leftover supplies to their agency or ask your local veterinarian or animal shelter if they can use any of the leftover supplies.

You should never pour unused liquid medications down the sink.

Yes. However, fluids for hydration or saline and heparin flush syringes may be kept at room temperature.
Yes. An HQRX home infusion specialist will train your and/or your caregiver on how to administer ongoing treatments at home, as well as how to maintain infusion equipment and IV site.
Please call HealthQuest anytime at 832-612-3500 for 24/7 guidance and support regarding all aspects of your infusion therapy, including equipment setup, administration, and medication regimen.