Presentation is loading. Please wait.

Presentation is loading. Please wait.

What is an IV push medication? Davis’s Drug Guide: “Direct IV” Gahart: “IV injection” Also called IV “bolus”, or just bolus. Bolus = “concentrated medication.

Similar presentations


Presentation on theme: "What is an IV push medication? Davis’s Drug Guide: “Direct IV” Gahart: “IV injection” Also called IV “bolus”, or just bolus. Bolus = “concentrated medication."— Presentation transcript:

1 What is an IV push medication? Davis’s Drug Guide: “Direct IV” Gahart: “IV injection” Also called IV “bolus”, or just bolus. Bolus = “concentrated medication or solution given rapidly over a short period of time; …direct I.V. injection or I.V. drip” (Phillips, IV Therapeutics, p. 625) Institutional as well as pharmacological guidelines must be followed. 1

2 6 reasons for medications to be administered IV push. Rapid onset Improved serum drug concentrations Able to administer when NPO IM painful Some drugs can only be given IV “ Loading dose ” 2

3 Describe 4 complications r/t via IVP meds 1.Incompatibilities – Physical: – Chemical: – Therapeutic: 2.Speed shock: 3.Vascular irritation 4.Rapid onset of action 3

4 IV Policy from Student Handbook In semester 2 and 3, students will give IV push medications only under the direct supervision of their instructor. 4

5 Cautions Don’t mix 2 drugs in syringe, even if compatible Wait until later to use? Label all syringes Always give IV push meds under the direct supervision of your instructor. Don’t throw the ampule/vial away 5

6 Prior to giving a med IV Push: 5 rights Generic and brand name Classification Why getting drug – expected effects Is this an appropriate dose? Patient teaching Onset & duration of action 6

7 Additional steps prior to giving an IVP med Compatibility Rate of administration Need to be diluted? 7

8 Example from Gahart: Metoclopramide 10 mg IV q. 6 hours Dilution: – May be given undiluted if dose does not exceed 10 mg. For doses >10 mg dilute in at least 50 mL of D5W, NS, …, and give as an infusion. Rate of Administration: – Too rapid IV injection will cause intense anxiety, restlessness, and then drowsiness. – IV injection: 10 mg or fraction thereof over 2 minutes. – Infusion: Administer over a minimum of 15 minutes. 8

9 Compatibility example: metoclopramide “Consider any drug NOT listed as compatible to be INCOMPATIBLE until consulting a pharmacist” Manufacturer lists as incompatible… Sources suggest the following compatibilities: – Additive: Manufacturer lists… – Y-site: All drugs listed by the manufacturer as compatible under Additive. Other sources add [A long list, alphabetica l] 9

10 IV push med through a peripheral lock SAS: Saline Administer med Saline What type of adaptor do you have? Positive pressure or negative pressure? Reminder: The technique differs!! 10

11 IV push med through a Central line lok Remember w/CVAD: 10 mL syringe or larger SAS Saline Administer med Saline Positive pressure access device: – Remove syringe, then clamp tubing 11

12 Skills Competency 1.Saline lock flush – either peripheral or central (all scenarios will include). 2.IVPB (bag w/secondary tubing) – Gentamicin Sulfate – Ceftriaxone Sodium (Rocephin) – Levofloxacin (Levaquin) 3.Central line dressing change 4.IV push – Pepcid – Reglan – Lasix (furosemide) 12


Download ppt "What is an IV push medication? Davis’s Drug Guide: “Direct IV” Gahart: “IV injection” Also called IV “bolus”, or just bolus. Bolus = “concentrated medication."

Similar presentations


Ads by Google