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IV push medications

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What is IV med administration? Process of administering medication directly into vein, Allows for rapid absorption of medication, Easier to control amount of medication delivered,Can be given rapidly (IV push)
What are the advantages of IV push meds? Immediate effect 100 percent bioavailability Overcomes absorption problems Compliance problems
What are the disadvantages of IV push meds? Inability to recall, Cost, Errors in administration,Anaphylaxis(slower development when used PO as compared to IV), - Irritation of vein (i.e. Vancomycin- should be given through central line preferably)
What is a sentinel event? as any unanticipated event in a healthcare setting resulting in death or serious physical or psychological injury to a patient or patients, not related to the natural course of the patient's illness.
Side effect of lasix given too quickly? Hypotension, profound diuresis with resultant shock and electrolyte depletion & ototoxicity or ringing in ears
Rapid infusion : occurs frequently and can increase severity of IV drug errors
Safe practice for iv meds: access to information about max rate of administration (mg/min),Know the medication, check Compatibility
If an IV is not compatible, the solution will immediately crystalize and be cloudy (milky white) within the line at this point, need to d/c line. Should flush before and after to reduce chances of this happening.
To verify which solutions need to be diluted: Check micromedix, the MAR and med book
What are the steps in IV push med assessment? Why is the patient receiving this med?, Contraindications?, Vital signs/Labs, Communication, Education
What does SAVE stand for in infection control? Scrupulous hand washing,Aseptic technique, Vigorous scrub, Ensure patency
What is tissue necrosis? Tissue necrosis – can occur from meds irritating vein, ruptures vein and leaks into tissue eventually killing tissue
What is speed shock and it's symptoms? can come from giving meds too fast. Will become diaphorectic, tachycardic, etc
What is the safe rate for Lasix IV admin? 20-40 mg over 2 min
What are the safe rates for Pepcid IV push med? For IV push: Dilute 2 mL of 10 mg/mL solution with compatible IV solution to total volume of 5 mL or 10 mL. Inject over a period of not less than 2 min
What are the safe rates for Pepcid IV infusion? For IV infusion: Add 2 mL of 10 mg/mL solution to 100 mL of compatible IV solution. Infuse over 15 to 30 min.
Side effects of Pepcid given too quickly? MENTAL STATUS CHANGES
What are the side effects of Morphine? Severe respiratory depression, apnea, hypotension, peripheral circulatory collapse, cardiac arrest
What is the intervention for Morphine side fx? narcotic antagonist (Narcan) and the facilities for resuscitation and assisted or controlled respiration need to be immediately available.
When morphine is given parenterally, especially intravenously, the patient should be in what position? Lying down
What are the side effects of Dilaudid? Severe respiratory depression, hypotension, circulatory collapse Easily confused with other drugs (eg morphine, meperidine) leading to fatalities Double check dosing with second nurse!
D50W can cause : infiltation (tissue sloughing and necrosis)and sclerosis of the vein so it is best through central line or running IV
Solu-medrol can cause : CIRCULATORY COLLASPE and cardiac arrhythmias and/or cardiac arrest following the rapid administration of large IV doses
Solu-Medrol should not be: diluted or mixed with other solutions.
A nurse is to administer a medication by IV medication through an existing IV line. Before administering the medication, what is the most appropriate order of the following actions? Verify the medications are compatible, Perform hand hygiene and apply gloves, Occlude the IV line by pinching the tubing just above the injection port, Aspirate for blood return before injecting the medication.
Created by: UARN85