Module 2: Part 3 - Direct/Push IV Medication

Question 1

What does a bolus do?

Answer 1

Introduces a concentrated dose of a med directly into a vein through an existing IV access.

Question 2

When are bolus’ commonly used?

Answer 2

In emergencies when fast acting meds need to be given quickly.

Question 3

Something important to remember when administering an IV bolus is:

Answer 3

To monitor the patient’s reaction closely for signs of anything adverse.

Question 4

Why are bolus’ dangerous?

Answer 4

• There is no time to correct errors
• If given too quickly they can cause death
• May cause direct irritation of the vessels

Question 5

What should you always do before giving an IV bolus?

Answer 5

Check that the needle is still placed correctly, assess site for any redness or edema

Question 6

What are the benefits of administering a bolus through a saline lock?

Answer 6

The lock saves time by eliminating the constant monitoring of an IV site, allows for better mobility, safety, and comfort for patients.

Question 7

While you are administering a bolus and you are not currently pushing the med, what should you do?
(I don’t know if that question made sense lol)

Answer 7

Allow IV fluids to infuse.

Question 8

If your bolus is not compatible with the IV fluids, what should you do?

Answer 8

Stop the IV fluids, clamp the line, flush with 10mL NS or SW. Flush with another 10mL after med is given.

Question 9

Can you give a bolus to an infant or child?

Answer 9

You can, but it is difficult to prepare accurately even with a tuberculin syringe.

Question 10

What is important to remember when giving meds to geriatric patients?

Answer 10

They generally have decreased renal and metabolic systems so the doses should be prepared with that in mind.