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Zorluk: KolayPharmacological and Parenteral Therapies

During morning rounds, a nurse notes that a client has an active peripheral venous catheter infusing lactated Ringer's solution at 100 mL/hr100\text{ mL/hr}. The pharmacy has just delivered a newly prescribed dose of intravenous ceftriaxone. Which action represents the most critical safety step the nurse must perform prior to connecting the medication?

  1. A
    Instruct the unlicensed assistive personnel to assess the insertion site for redness during the infusion.
  2. Verify the compatibility of the antibiotic and the lactated Ringer's solution using a standard drug reference.Cevap
  3. C
    Calculate the medication drip rate utilizing the client's body mass index and baseline weight.
  4. D
    Analyze the client's most recent arterial blood gas results to confirm stable acid-base balance.

Cevap

The nurse must verify the compatibility of the antibiotic and the lactated Ringer's solution using a standard drug reference.
The correct action ensures patient safety by preventing a potentially fatal chemical reaction. Ceftriaxone can bind with the calcium present in lactated Ringer's solution to form solid particulate matter (precipitate) in the IV line or bloodstream. Therefore, verifying compatibility is an absolute priority before mixing any IV medications or fluids.

Adım Adım Çözüm

1
Identify the planned clinical intervention.
The nurse is preparing to administer a secondary intravenous medication into a primary line that is actively infusing a different solution.
Recognizing multiple intravenous substances will mix in the tubing is the first step in medication safety.
2
Recall the fundamental safety principles of parenteral therapies.
When two different intravenous solutions or medications meet, there is a high risk for physical or chemical incompatibility.
Preventing adverse reactions, such as the formation of micro-crystals or precipitate, protects the client from emboli and vein irritation.
3
Determine the priority nursing action based on these principles.
The nurse must consult a drug reference guide to ensure ceftriaxone and lactated Ringer's solution can safely mix.
Compatibility verification must always occur before connecting and infusing a new medication.

Anahtar Kavram

Intravenous Compatibility and Medication Safety
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Konular

Pharmacological and Parenteral Therapies

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