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IV lines - IV notes
Nursing Pharmacology
Keiser University
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IV Medications
3 Types
o IV bolus (Push) o Intermittent infusion (Piggyback) o Continuous infusion in large volume solution
Nurse Responsibilities
o Support positive outcomes o Reduce risk of adverse effects o Integrate med administration into pt plan of care o Provide pt/family education
Safety
o Know rights of med administration o Check medication at least x3 against MAR As removing med from storage As preparing med At pt bedside before administering o Only administer properly labeled meds o Perform accurate dosage calculations o Know side effects o Know desired effects o Know antidote if one available
************************ IV Medication compatibility is very important*********************
o Minimize incompatibility of IB bolus by flushing line with 10 mL or 0% sodium chloride before and after med administration. o Any precipitate, haze, color change or gas evolution discoloration change meds are incompatible.
IV Rates Calculation
Do’s before IV medication Admin
o Take vital signs o BP o Heart Rate o Respirations o Pain score before giving analgesics
Pt teaching o Instruct pt to report symptoms of pain, burning, itching, swelling or any reactions to the medication.
IV medication Administration
o IV bolus Admin: Concentrated meds Small amount of fluid needed IV placement needs to be confirmed before administration
o Intermittent IV Bolus Admin: Intermittent delivery administration throughout the day Primary line with maintenance fluid required Primary fluid must be positioned lower than piggyback.
o IV Bolus (IV Push) Admin: Delivered over 3-5 min Must check IV compatibility with med Saline lock IV must be flushed with 0% sodium chloride before/after med administration.
Central Venous Devices (CVADS) & Peripherally Inserted Central Catheters (PICCS)
o Frequent/ recurrent blood sampling for labs o Delivery of vasoactive meds
o Following med admin flush extension tubing with 10 mL of 0% sodium chloride.
IV lines - IV notes
Course: Nursing Pharmacology
University: Keiser University
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