A nurse is preparing to administer a prescribed intravenous (IV) push medication through a peripheral IV line. The current continuous IV fluid infusing is incompatible with the prescribed IV push medication. In what order should the nurse perform the following actions to safely administer the medication? Arrange the actions in the correct sequence.
- 1Stop the continuous IV infusion and clamp the primary tubing above the port closest to the client.
- 2Scrub the injection port closest to the client with an antiseptic swab and allow it to dry.
- 3Flush the IV line with 10 mL of 0.9% sodium chloride.
- 4Administer the prescribed IV push medication over the recommended duration.
- 5Flush the IV line again with 10 mL of 0.9% sodium chloride at the same rate as the medication administration.
- 6Unclamp the primary tubing and resume the continuous IV fluid infusion.
Cevap
Stop the infusion/clamp tubing, scrub the port, flush with saline, administer the medication, flush with saline at the medication rate, and restart the infusion.
When administering an IV push medication through a line with an incompatible continuous infusion, the nurse must first stop the infusion and clamp the line to prevent mixing. The lowest port is used and scrubbed to maintain asepsis. A preliminary saline flush clears the incompatible fluid from the tubing. The medication is then administered at the prescribed rate, followed by a post-administration saline flush. Crucially, the post-flush must be pushed at the same rate as the medication to avoid rapidly infusing the medication still residing in the tubing. Finally, the primary infusion is safely restarted.
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Anahtar Kavram
Safe administration of an IV push medication through a line with an incompatible continuous infusion requires stopping the infusion and using the SAS (Saline, Administer, Saline) method at the lowest port.