A nurse is preparing to administer a newly prescribed intravenous (IV) antibiotic as a secondary infusion (piggyback) to a client who is currently receiving a continuous primary IV infusion of 0.9% sodium chloride. Which of the following is the priority nursing action before initiating the secondary infusion?
- Verify the chemical and physical compatibility of the antibiotic with the primary 0.9% sodium chloride solution.Cevap
- BDelegate the preparation and priming of the secondary IV tubing to the unlicensed assistive personnel (UAP).
- CCalculate the drip rate to administer the entire antibiotic volume rapidly over 3 to 5 minutes.
- DPlace the client in a strict high-Fowler's position to prevent respiratory distress during the infusion.
Cevap
Verify the chemical and physical compatibility of the antibiotic with the primary 0.9% sodium chloride solution.
Before administering any secondary intravenous medication (piggyback) into an existing continuous IV line, the nurse must always verify that the medication is chemically and physically compatible with the primary infusing solution. Failure to verify compatibility can result in precipitation within the IV tubing. This precipitation can lead to loss of drug efficacy, occlusion of the IV catheter, or the infusion of dangerous microemboli into the client's bloodstream.
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Anahtar Kavram
Intravenous Medication Compatibility