A nurse is preparing to administer a prescribed intravenous (IV) push medication to a client. The medication is incompatible with the client's continuous primary IV fluid infusion. The client has a single peripheral IV line. In what order should the nurse perform the following actions? Arrange the steps in the correct sequence from first to last.
- 1Pause the primary continuous intravenous fluid infusion.
- 2Scrub the injection port closest to the client with an antimicrobial swab.
- 3Flush the intravenous tubing with 10 mL of sterile 0.9% sodium chloride.
- 4Administer the prescribed intravenous push medication over the recommended time.
- 5Flush the intravenous tubing again with 10 mL of sterile 0.9% sodium chloride at the medication administration rate.
- 6Restart the primary continuous intravenous fluid infusion at the prescribed rate.
Cevap
The correct sequence is to first pause the incompatible infusion, scrub the injection port, flush the line with normal saline, administer the IV push medication, flush again with normal saline at the medication rate, and finally restart the primary infusion.
When administering an IV push medication that is incompatible with a continuous IV infusion, the nurse must ensure the two fluids do not mix. This is achieved by first pausing the primary infusion, cleaning the port, and flushing the line with a compatible fluid (usually 10 mL of 0.9% sodium chloride) before the medication is introduced. The medication is then administered over the recommended time. A second flush is required to ensure the full dose reaches the client, which must be administered at the same rate as the medication so the remaining drug is not pushed in too quickly. Finally, the primary infusion is restarted.
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Anahtar Kavram
Administration of an IV push medication through an incompatible continuous IV infusion requires pausing the primary fluid and performing careful flushing before and after to prevent mixing and precipitation.