IV Administration

Question 1

1. Name the 6 meds that could be assigned for IV push:

2. Name the 4 meds that could be assigned for IVPB:

Answer 1

1. Hydromorphone, Lorazepam, Lasix, Famotidine, Metoprolol, and Protonix.
2. Zosyn, Vancomycin, Claforan, Ciprofloxacin

Question 2

1. How is Hydromorphone administered (method and time)?
2. What is its dosage for pain scale?
3. Type and amount of diluent

Answer 2

1. IV push over 2-3 min.
2. 2mg for pain 7-10, 1mg for pain 4-6, 0.5mg for pain 1-3.
3. Don’t dilute (but actually do. Remember 1ml per min. So, if you’re gpoing to push for 3 min, you need 3 ml.)

Question 3

1. How is Lorazepam administered (method and time)?
2. What is its dosage for anxiety scale?
3. Type and amount of diluent

Answer 3

1. IV push not exceeding 2mg/min.
2. 1mg for anxiety 6-10, 0.5mg for anxiety 1-5
3. sterile water, D5W, or 0.9% NaCl.

Question 4

1. How is Lasix administered?
2. What is the dosage? And how fast to push?
3. Diluent?

Answer 4

1. IV push
2. 40mg (push 20mg/min. So 2 min in this case).
3. Administer undiluted

Question 5

1. How is Famotidine administered and what is it for?
2. What is the dosage? And how fast to push?
3. Diluent?

Answer 5

1. IV push. Treatment for GERD, and ulcers. Histamine blocker.
2. 20mg over 2 min
3. 0.9% NaCl for injection Concentration: not >4 mg/mL

Question 6

1. How is Metoprolol administered and what is it for?
2. What is the dosage? And how fast to push?
3. Diluent?

Answer 6

1. IV push. Beta blocker. Treats HTN.
2. 5mg over 1 min.
3. Administer undiluted

Question 7

1. How is Protonix administered and what is it for?
2. What is the dosage? And how fast to push?
3. Diluent?

Answer 7

1. IV push. Proton Pump Inhibitor - for healing erosive esophagitis.
2. 40mg over minimum of 2 min.
3. Administer undiluted

Question 8

1. How is Zosyn administered and what is it for?
2. What is the dosage? And how fast to infuse?
3. Diluent?

Answer 8

1. IVPB. Extended spectrum penicillin
2. 3.375g Infused over 30 min.
3. Reconstitute each gram w/5ml of 0.9% NaCl, sterile water injection, or D5W
   Diluent: Dilute further in 50-100 mL of 0.9% NaCl, D5W, or LR

Question 9

1. How is Vancomycin administered and what is it for?
2. What is the dosage? And how fast to infuse?
3. Diluent?

Answer 9

1. IVPB antibiotic
2. 1g over 60min
3. 1g. reconstitute a 1g vial with 20ml sterile water for injection. Then dilute w/ 100ml of 0.9% NaCl, D5W, or LR for every 500 mg of Vancomycin being administered.

Question 10

1. How is Claforan administered and what is it for?
2. What is the dosage? And how fast to infuse?
3. Diluent?

Answer 10

1. IVPB 3rd gen cephalosporins
2. 1g over 20-30min
3. Reconstitute with at least 10 mL of sterile water for injection. Reconstituted solution may be further diluted. Concentration: 20-60 mg/mL

Question 11

1. How is Ciprofloxacin administered and what is it for?
2. What is the dosage? And how fast to infuse?
3. Diluent?

Answer 11

1. IVPB. Fluoroquinolones.
2. 400mg over 60 min.
3. Dilute with 0.9% NaCl or D5W Concentration: 1-2 mg/mL

Question 12

1. What is the universal diluent?

Answer 12

1. 0.9% Nacl