Term
What is the method of administering high concentrations small volume of medication through an IV? |
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Definition
Intravenous push (IV Push) |
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Term
| Direct injection or IV push requires that the drug to be drawn how? |
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Definition
| into a syringe before injection or available in a prefilled syringe |
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Term
What are the advantages of an IV Push? |
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Definition
Barriers of drug absorption are bypassed
Drug response is rapid and usually predictable
the patient is closely monitored during the full admin of the med |
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Term
| After verifying the order, right pt/teaching, and washing hands for an IV push what would be the next 2 steps for IV Push? |
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Definition
check compatability of drug with primary solution (if in continuous infusion)
Dilute if an opiod analgesic |
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Term
| You must always do what to the port before administering an IV Push? |
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Definition
| cleanse with antiseptic solution |
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Term
| If the drug is incompatible with the primary solution what can you do to administer the medication? |
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Definition
Flush the catheter with 0.9% sodium chloride before and after adminstration of the med and pinch tubing to primary line |
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Term
| How much of the medication do you give the pt over a 15-20 second period for IV push if concerned with adverse effects? |
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Definition
1/4 of the medication then deliver 1/4 of the drug each 3 more times. |
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Term
| How long should an IV push take to give the full amount of medication? |
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Definition
At least a Minute
But always follow manufactuer delivery
(ex phentoyin and diazepam more time) |
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Term
What are the disadvantages of an IV push? |
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Definition
Adverse effects occur at same time/rate as therapeutic effects
greatest risk of adverse effects/toxicity due to drug concentrations sharply elevated
Speed shock from too-rapid admin of med
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Term
| Signs and Symptoms of Speed Shock are: |
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Definition
Some signs of speed shock are a flushed face, headache, a tight feeling in the chest, irregular pulse, loss of consciousness, and cardiac arrest.
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