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IV medications DRIP and PUSH - lab pwrpt

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Question
Answer
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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