Download Medication Administration

Medication
Administration
Intravenous
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Onset and absorption
Dosing and scheduling considerations
Equipment
Sites: Figures 10-18 (adult) and 10-19
(children)
Intravenous infusion
Starting an IV will be discussed in
phlebotomy
Administering Intravenous
Medications
Copyright © 2013, 2010, 2006,
2003, 2000, 1995, 1991 by
Mosby, an imprint of Elsevier
Inc.
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Intravenous sites in adults
Copyright © 2013, 2010, 2006,
2003, 2000, 1995, 1991 by
Mosby, an imprint of Elsevier
Inc.
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Modifications in Technique for
Specific Situations
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Adding medication by piggyback infusion
Administration of medication when there is
only an intermittent infusion device
Copyright © 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc.
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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
Intravenous Infusion Rates
Copyright © 2013, 2010, 2006,
2003, 2000, 1995, 1991 by
Mosby, an imprint of Elsevier
Inc.
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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.
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IV Piggy Back (IVPB) Meds
Copyright © 2013, 2010, 2006,
2003, 2000, 1995, 1991 by
Mosby, an imprint of Elsevier
Inc.
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Background Knowledge
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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
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.
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In the medication room
Copyright © 2013, 2010, 2006,
2003, 2000, 1995, 1991 by
Mosby, an imprint of Elsevier
Inc.
8
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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
At the bedside
Copyright © 2013, 2010, 2006,
2003, 2000, 1995, 1991 by
Mosby, an imprint of Elsevier
Inc.
9
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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.
Continued
Copyright © 2013, 2010, 2006,
2003, 2000, 1995, 1991 by
Mosby, an imprint of Elsevier
Inc.
10
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
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Practice
Copyright © 2013, 2010, 2006,
2003, 2000, 1995, 1991 by
Mosby, an imprint of Elsevier
Inc.
11
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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
Intermittent IVPB
Copyright © 2013, 2010, 2006,
2003, 2000, 1995, 1991 by
Mosby, an imprint of Elsevier
Inc.
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