IV direct Flashcards
1
Q
IV push steps
A
- check all orders
- make sure compatible
- make sure all rights
- -> bfr you flush first one aspitate to make sure the catheter is in the vein?? - take two 10ml NS syringes one to fluch bfr and one to flush after.
- admin the med very slowly according to the time recommended by the PDTM.
- dont forget to pintch the tubing when pushing in the med and let go so that the primary line can drip in between
- watch for rxns.
- record and document
2
Q
dont push in too fast because the PT might experience?
A
speed shock
Some signs of speed shock are a flushed face, headache, a tight. feeling in the chest, irregular pulse, loss of consciousness, and. cardiac arrest.
3
Q
Advantages of IV direct:
A
- convenient
- rapid effect
- fluid restrictions
4
Q
Disadvantages of IV direct
A
Rapid effect
- side effects
- toxicity
- allergic reactions
- idiosyncratic (hypersensitivity)
Vein irritation
- high concentration
- rapid volume
5
Q
Compatibility issues:
A
- Parentral therapy profile
- IV primary line solution
- theraputic compatibility
- concentration of med
- signs of chemical incompatibility:
- - visible and non-visible
- - local rxn in the vein:
6
Q
do you know the therapeutic reaction?
A
- immediate
- next focused or full assessment
- long term
7
Q
If an allergic rxn occurs:
A
- stop admin asap
- admin emergency treatment if poss
- call for assistance
- monitor the PT closely
- notify the doc
8
Q
Local reactions to IV direct
A
Pain, venous spasm, phlebitis, extravasation (interstitial) arterial spasm (rare), speed shock
9
Q
System response to IV direct
A
CV system
Renal and liver function
10
Q
Preparation:
A
- equip needed
- reconstitution
- dilution
- site
- calculation rate
- incompatibilities
11
Q
Pinch, push, release
A
> calc the amount over 15 sec > slows the delivery > if rate not specified -- consider all safety issues -- one ml/min
12
Q
Follow up care
A
- Assessment
- -immediate
- - long-term - revert to original IV status
- document
