Nurs 321 Week 2 - IV Medication Administration: –
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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Terms in this set (30)
What level of supervision is required for Direct - always
reconstitution of medication • they watch us take the vial, mix it and prepare it.
• All IV medications require a cosignature - independent
double checks - we independently do the calculations to see
what we should draw up to the minibag.
If the IV medication doesn't require NO --> all IV meds require cosignature
reconstitution, can you just administer it?
What do you need to check before hanging Check the lines to see if they have expired
an IV medication • Change continuous lines every 96 hours
• Change intermittent (secondary) lines every 24 hours
If administering a medication through administering through peripheral line - need indirect
peripheral line - wht level of supervision is supervision - can from from direct to indirect.
needded,
if the medication is going through central line including PICC
what if it's a central line or picc you need direct supervision for any manipulation with a
central line.
If there's a continuous infusion like heparin or insulin we
require a direct supervision when mixing the bag, priming, and
setting the pump.
Iv medications can be delivered in various Large volumes of fluids
ways including • 40mEq of KCl over 12-24 hours in D5 half NS. Then the
patient would be either saline locked or go back to their
- continuous infusions are primed with what primary infusion.
• this is common with potassium chloride because it is caustic
and causes burning at the site which is why it's run over an
extended period of time.
Continuous Infusion
• ex. insulin drip, heparin drip, morphine drip.
• On a continuous infusion you prime with the medicated fluid.
Because if you prime with NS, the patient won't receive any
heparin until the line of NS ran through which would be
appriximately 15 to 27 mls depending on the Iv length.
, If a patient is getting a continuous infusion you prime it with the medicated fluid, spike the heparin then
of heparin for example then what do you prime.
prime the line with
Direct vs Direct IV: bolus of medication through a medication port of an
Intermittent IV administration existing IV line. Given in mg per minute. Always drawn up in
syringe and you use a clock or watch with second hand to
determine how fast to push
Intermittent IV: aka piggyback - solution containing
medication using secondary tubing through an existing IV line.
most common way of delivering IV medications.
what do you do if the drip chamber is too you take the bag off the hook, inert it, squeeze some of the
full medication back into the bag itself and hang it so you can sEE
the dripping.
IV medications advantages • Rapid onset of desired medication effect
• Useful to establish and maintain therapeutic blood levels -
like for heparin trying to maintain an adequate PT for that
patient. maybe they've had a pulmonary embolism. also need
to maintain a therapeutic level for other medications like
dilantin.
• Less discomfort for patient (if IV patent)
rapid onset for ex if they had 7/10 pain might want to give it
IV
IV medications disadvantages • Rapid onset of medication leading to possible speed shock
• possible dangerous complications
- maybe have the antidote ready just incase.
could cause fluid overload, infection, irritation to the vein
(phlebitis or burning when it's going in), you can slow down
the rate and increase the volume. They could also get
interstitial administration which would cause pain at the site
extravasation would cause tissue slothing.
intermittent instead of direct can decrease the risk of a lot of
tissue damage.
Phlebitis - what is it Phlebitis: swelling, warmth, redness, tenderness.
- interventions
- prevention Palpable cord - the vein feels like a cord.
steps/interventions:
• stop the IV, discontinue at the site, pull out the IV, treat the
site with warm compress, elevate, maybe give analgesics,
advocate for order if there's none.
• insert new IV if required, or use the opportunity to advocate
that they don't need an IV anymore if they don't.
Prevention: small gauge IVs (smallest gauge possible like
small gauge I think as in small lumen - so larger gauge ?? ) ,
asepsis, encourage hand hygiene for patient, stabilize IV site,
don't want it being pulled.
Questions With Verified Solutions
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (30)
What level of supervision is required for Direct - always
reconstitution of medication • they watch us take the vial, mix it and prepare it.
• All IV medications require a cosignature - independent
double checks - we independently do the calculations to see
what we should draw up to the minibag.
If the IV medication doesn't require NO --> all IV meds require cosignature
reconstitution, can you just administer it?
What do you need to check before hanging Check the lines to see if they have expired
an IV medication • Change continuous lines every 96 hours
• Change intermittent (secondary) lines every 24 hours
If administering a medication through administering through peripheral line - need indirect
peripheral line - wht level of supervision is supervision - can from from direct to indirect.
needded,
if the medication is going through central line including PICC
what if it's a central line or picc you need direct supervision for any manipulation with a
central line.
If there's a continuous infusion like heparin or insulin we
require a direct supervision when mixing the bag, priming, and
setting the pump.
Iv medications can be delivered in various Large volumes of fluids
ways including • 40mEq of KCl over 12-24 hours in D5 half NS. Then the
patient would be either saline locked or go back to their
- continuous infusions are primed with what primary infusion.
• this is common with potassium chloride because it is caustic
and causes burning at the site which is why it's run over an
extended period of time.
Continuous Infusion
• ex. insulin drip, heparin drip, morphine drip.
• On a continuous infusion you prime with the medicated fluid.
Because if you prime with NS, the patient won't receive any
heparin until the line of NS ran through which would be
appriximately 15 to 27 mls depending on the Iv length.
, If a patient is getting a continuous infusion you prime it with the medicated fluid, spike the heparin then
of heparin for example then what do you prime.
prime the line with
Direct vs Direct IV: bolus of medication through a medication port of an
Intermittent IV administration existing IV line. Given in mg per minute. Always drawn up in
syringe and you use a clock or watch with second hand to
determine how fast to push
Intermittent IV: aka piggyback - solution containing
medication using secondary tubing through an existing IV line.
most common way of delivering IV medications.
what do you do if the drip chamber is too you take the bag off the hook, inert it, squeeze some of the
full medication back into the bag itself and hang it so you can sEE
the dripping.
IV medications advantages • Rapid onset of desired medication effect
• Useful to establish and maintain therapeutic blood levels -
like for heparin trying to maintain an adequate PT for that
patient. maybe they've had a pulmonary embolism. also need
to maintain a therapeutic level for other medications like
dilantin.
• Less discomfort for patient (if IV patent)
rapid onset for ex if they had 7/10 pain might want to give it
IV
IV medications disadvantages • Rapid onset of medication leading to possible speed shock
• possible dangerous complications
- maybe have the antidote ready just incase.
could cause fluid overload, infection, irritation to the vein
(phlebitis or burning when it's going in), you can slow down
the rate and increase the volume. They could also get
interstitial administration which would cause pain at the site
extravasation would cause tissue slothing.
intermittent instead of direct can decrease the risk of a lot of
tissue damage.
Phlebitis - what is it Phlebitis: swelling, warmth, redness, tenderness.
- interventions
- prevention Palpable cord - the vein feels like a cord.
steps/interventions:
• stop the IV, discontinue at the site, pull out the IV, treat the
site with warm compress, elevate, maybe give analgesics,
advocate for order if there's none.
• insert new IV if required, or use the opportunity to advocate
that they don't need an IV anymore if they don't.
Prevention: small gauge IVs (smallest gauge possible like
small gauge I think as in small lumen - so larger gauge ?? ) ,
asepsis, encourage hand hygiene for patient, stabilize IV site,
don't want it being pulled.
