IV Push Flashcards
advantages of IV push
- rapid onset of action
- small amount of nurse time required to administer
- multiple medications can be given within a short period of time when needed, such as during a code
disadvantages of IV push
- med effects occur immediately so there is no time to correct errors
- medications can be irritating to the skin (assess before and after)
- if given in the tissue instead of the vein, pain, sloughing and death of tissue and abscesses can occur
why are antibiotics given IVPB over IV push?
Their higher incidence of allergic reactions
These meds can only given through a central line
- high concentration K+
2. Phenergan
what patient monitoring is needed for beta blockers?
telemetry
what med can only be given in specialized units?
propofol
safety principles for IV push meds
- calculate correct dose and rate
- verify allergies
- determine compatibility of med with others and IV fluids
- assess IV site
- critical assessments for medication
- maintain asepsis (clean 30 dry 30 or 15/15)
for central lines, what volume med can be administered without dilution?
10 ml or less but slow
What volume requires dilution to fill dead space?
<1 ml
If incompatibility exists,
IV line must be flushed with NS before and after giving medication
-or other line must be established
if you don’t get blood return on a a CL
stop the skill, don’t attempt to flush a line without a blood return–risk moving clot into system
Only _____ ml flushes can be used on CL
10 ml or equal pressure
If you don’t get a blood return on a PL
-slowly attempt to flush the line watching closely for SS infiltration (here you stop the flush)
Do we ever use force to flush any line?
no
Flushing is not required with an…
infusing line
