IV medications DRIP and PUSH - lab pwrpt
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Flow rate | total infusion vol in ml / hrs of infusion
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calc the drop rate based on drops per minute | (gtt/60)*Flow rate = drop rate
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types of orders | stat = immediately "give apresoline 10 mg IV STAT" PRN = as necessary " morphine sulfate 2 mg IV q2h prn for incision pain." Standing order or routine medication orders = "protonix 40 mg IV daily * 5 days."
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Methods of IV medications infusions | IV medication infusions - mixed in large vol of fluid [500-1000] & continuous
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Intermittent IV administration | intermittently in small amoutn of soln [25-250 ml] Can be piggyback
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Bolus IV administration | typically small amts, injected over shot time [1-2 minutes]
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what to mx & document for regulating flow rates | iv infusion for proper rate of infusion, therapeutic response to medication, ct and ct lab values for s/s of over hydration/dehydration, ct during ADL's for proper position of extremity and care of infusion tubing.
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safe IV medication administration | know your meds, 'KCL can cause serious rxn - should be on IV pump & NEVER give push!", never admin. IV meds through tubing with blood, blood products and parenteral nutrition solutions. Verify compatibility of medications before infusion!!
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Large volume infusions | safest and easiet, mx for too rapid of infusion, medication is diluted in compatible IV fluids
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IV bolus | Concentrated medication admin, can be irritating to vessels, mx site, and determine rate of administration
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How often do I need to change the tubing? | INS standard is: primary and secondary CONTINUOUS = Q.72 hrs, Intermittent = Q24 Always change if suspected contamintion
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