IV push

Question 1

what type of supervision is required for this skill?

Answer 1

direct

Question 2

advantages of direct IV push

2

Answer 2

• smaller amounts of fluid (good for HF patients)
• rapid response

Question 3

disadvantages of direct IV push

3

Answer 3

• no time to correct error
• speed shock
• death

Question 4

What is direct IV push?

Answer 4

concentrated dose introduced directly into circulation

Question 5

what is speed shock?

Answer 5

systemic reaction caused by toxic drug levels

Question 6

S/S of speed shock

Answer 6

headache, syncope, flushing, chest tightness, irregular pulse, shock or cardiac arrest

Question 7

what do you do if speed shock occurs?

Answer 7

stop injection immediately
keep syringe
assess VS
alert medical team
educate patient
ensure IV patency
document

Question 8

number of increments is determined by?

Answer 8

small lines on syringe

Question 9

calculating direct IV

Answer 9

total volume and time in seconds
- determines size and type of syringe
- time in seconds divided by # of increments

Question 10

hyperkalemia shifting

steps

Answer 10

1. check glucose
2. prepare D50 and insulin in 1ml insulin syringe (NOT subcu syringe)
3. administer D50 (over 5 min) first THEN seperate insulin
4. check blood glucose

Question 11

blood glucose check post hyperkalemia treatment

Answer 11

every 30 min x2 then after another hour

Question 12

blood glucose check for hyperkalemia treatment if levels were 4-6

Answer 12

every 15 min x4 then after another hour