Week 4 IV push

Question 1

What are 3 reasons we give IV push meds?

Answer 1

1. Emergencies - fast acting
2. Limited IV access & multiple meds to infuse
3. Meds for patient comfort

Question 2

What are 3 reasons why med IV push is more critical than other secondary infusion methods?

Answer 2

1. meds are quick- get adverse effects
2. no time to correct errors
3. irritating to veins

Question 3

Why do we flush saline lock prior to med admin?

Answer 3

verify correct IV placement (check for IV issues)

Question 4

Why do we flush after?

Answer 4

Ensure they are given the full dose

Question 5

What is a downside to IV push compared to other secondary methods?

Answer 5

Harder on the veins

Question 6

Do we dilute 0.2 mLs?

Answer 6

Yes because it’s such a small amount

Question 7

Should we round up or down and why?

Answer 7

Round down so you don’t give it too quickly

Question 8

What syringe should we use?

Answer 8

closest to the dose

Question 9

When we dilute a med syringe to syringe what direction do we go?

Answer 9

small syringe into large

Question 10

When doing IV push, at what point do we want to stop the IV infusion?

Answer 10

> 100 mL/hr

Question 11

How many mL is a saline lock and how much do we adminster slow vs fast?

Answer 11

3mL total
.5 mL - slow (or same as bolus rate)
2.5mL regular flush for the saline lock

Question 12

What do we do if the IV med isn’t compatible with IV solution?

Answer 12

1. Stop IV fluid
2. Clamp the line
3. Flush line with 10mL NS
4. Give IV bolus over correct time
5. Flush with 3mL NS same rate as bolus
6. Flush rest of 7mL NS
7. Restart the infusion

Question 13

If someone has an adverse reaction do we flush the line?

Answer 13

Do not flush the line!

Question 14

How many min IV push should we switch to a mini bag instead ?

Answer 14

> 5 min