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Medication Administration Intravenous. Administering Intravenous Medications Onset and absorption Dosing and scheduling considerations Equipment Sites:

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Presentation on theme: "Medication Administration Intravenous. Administering Intravenous Medications Onset and absorption Dosing and scheduling considerations Equipment Sites:"— Presentation transcript:

1 Medication Administration Intravenous

2 Administering Intravenous Medications Onset and absorption Dosing and scheduling considerations Equipment Sites: Figures (adult) and (children) Intravenous infusion Starting an IV will be discussed in phlebotomy Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc. 2

3 Intravenous sites in adults Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc. 3

4 Modifications in Technique for Specific Situations  Adding medication by piggyback infusion  Administration of medication when there is only an intermittent infusion device 4 Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc.

5 Intravenous Infusion Rates Monitoring infusion rates Calculating infusion rates Infusion pumps; syringe infusion pumps Infusion controllers and volumetric pumps Implantable pumps Venous access device Common problems with intravenous infusions Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc. 5

6 IV Piggy Back (IVPB) Meds The LPN scope of practice allows for administration of antibiotics via IVPB using peripheral veins. The LPN can become IV certified after they graduate by taking a class to do so. The LPN is responsible for knowing the drug and its potential side effects. Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc. 6

7 Background Knowledge The LPN must know the name, class and action of the drug. What diluent is the medication compatible with? What is the rate and length of time for the infusion? How do you program the pump? What are the nursing parameters for giving the medication? What are the potential side effects? Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc. 7

8 In the medication room IVPB medication – check patient name, medication name, and rest of the six rights. Clamp the tubing; remove the cover from the spike; pull off the port cover from the IVPB bag. Enter the bag’s port with the tubing’s spike. Flush medication through the secondary tubing using sterile technique. Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc. 8

9 At the bedside 6 checks again. Assess the IV site; inflammation? Assess the hanging IV fluid; correct? Hang up the IVPB on the pole Lower the main IV bag 6-12 inches than the IVPB bag Cleanse the port with alcohol wipe for 30 seconds. Pierce the port with the sterile ‘needle’ from the secondary tubing set Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc. 9

10 Continued Set the IVPB infusion rate in the IV pump. Open the IV clamp on the IVPB tubing Monitor for IV dripping into chamber on tubing Assess the IV site again Plan your time to return to the patient room before the end of the infusion. After infusion; return Main IV to use. Dispose of waste properly. Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc. 10

11 Practice Use small IV bag as IVPB medication Follow steps from slide 8 through 10. Ensure you have all equipment needed before you leave the medication room. Practice timing the drip in the chamber for the IV drip rate Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc. 11

12 Intermittent IVPB Assess the IV site Clean IV cap with alcohol swab for 30 seconds. Flush IV site with 5 mL sterile normal saline Swab; Attach IVPB tubing and set rate. Begin infusion; monitor IV site for inflammation & patient for reaction to med At end, flush IV site with 5 mL Sterile NS Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc. 12


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