Midterm #2 - IV Meds Flashcards
IV Methods
Intermittent Infusion
Continuous Drip Infusion (in the main primary IV bag)
IV Direct/ Push
IV Bolus
IV Compatibility
Ability of a medication to retain its properties when combined with a diluent (eg NS)
IV Med Incompatibility
Undesired reaction between two drugs or a drug and a solution
Stability
Ability of substances to remain unchanged in the presense of other substances
Continuous Infusion
Infusion of IV solution at a constant rate.
May be the primary infusion.
Intermittent Infusion
Administration of IV meds at a prescribed interval.
May be delivered by pump or by gravity.
Upon completion, IV tubing is disconnected from IV access and IV access is flushed.
Promotes independence.
Q4h, q6h, q12h…
Primary Infusion
Main IV solution set up for the delivery of intravenous fluid or for maintaining vascular access during intermittent infusions
Secondary Infusion (Piggyback)
IV solution or med attached to the main set that is initiated concurrently or intermittently with the primary infusion.
Most common method to admin IV meds
Bolus
Concentrated med/solution given over a short period of time
May be given vi an infusion set or IV direct.
IV meds given too quickly cause negative outcomes (speed shock, death)
IV Direct
Administration of a med via syringe over a specific period of time (greater than 1 minute)
Into the lowest med port or directly into the cap of a IV catheter extension set.
IV Push
Rapid admin of a bolus of med via syringe
Based on the need for a rapid response to a med (eg. CPR)
KVO
Maintenance of a vascular access device “to keep the vein open”.
Continuous infusions for KVO MUST contain a specific rate of infusion ordered by the physician
TKVO - 10- 25 mL/h
Advantages of IV med admin?
Quick therapy effect of med
When med too irritating to be admin by another route
Control of how much to administer - stop or hold
Unconscious Patient med admin
Disadvantages of IV med admin?
Rapid severe reaction to med Fluid overload IV site complications: phlebitis, extravasation, infiltration Allergic reaction - anaphylaxis Speed shock
Anaphylaxis Early S+S
Uneasiness Anxiety Impending doom Erythema Urticaria Pruritis Angioedema Feeling of warmth Resp: lump in throat, hoarseness, coughing, sneezing, dyspnea, stridor
> > > Epinephrine IM route
