A nurse is preparing to administer a scheduled dose of intravenous (IV) push metoprolol through a client's peripheral saline lock. In what order should the nurse perform the following actions? Arrange the steps in the correct chronological sequence.
- 1Assess the peripheral intravenous insertion site for signs of erythema, swelling, or pain.
- 2Cleanse the injection port of the saline lock with an antiseptic swab.
- 3Attach a saline syringe, aspirate for blood return, and flush the catheter.
- 4Administer the prescribed intravenous metoprolol slowly over the recommended time.
- 5Flush the catheter with normal saline at the same rate the medication was administered.
Cevap
The correct sequence is: Assess the IV site, cleanse the injection port, aspirate and flush with saline, administer the medication, and finally flush with saline at the same rate as the medication.
The sequence for administering an IV push medication through a saline lock is built on patient safety and the standard SAS (Saline, Administer, Saline) method. First, the nurse visually and physically assesses the site for complications. Second, the port is cleansed to maintain asepsis. Third, a pre-flush with normal saline verifies patency and intravascular placement. Fourth, the medication is administered at the prescribed rate. Finally, a post-flush is administered at the exact same rate as the medication to ensure the drug remaining in the extension tubing is not inadvertently delivered as a rapid bolus.
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Anahtar Kavram
Safe administration of IV push medications via a saline lock follows the SAS (Saline-Administer-Saline) method, prioritizing site assessment, asepsis, patency verification, and controlling the post-flush rate to prevent bolus effects.