A nurse is preparing to administer a prescribed intravenous (IV) push medication through a client's dedicated peripheral IV line, which currently has a continuous infusion of 5% dextrose in water (D5W) running. Which of the following actions must the nurse take to ensure safe medication administration? Select all that apply.
- Verify the compatibility of the IV push medication with the continuous D5W infusion prior to administration.Cevap
- Scrub the needleless connector port closest to the client with an appropriate antiseptic before attaching the medication syringe.Cevap
- Time the administration of the medication strictly according to the manufacturer's recommended rate using a timekeeping device.Cevap
- DProceed with administration without consulting a compatibility resource, assuming D5W is a universally compatible maintenance fluid.
- EDelegate the assessment of the peripheral IV site for signs of infiltration to the unlicensed assistive personnel (UAP) before giving the medication.
- FRound the calculated volume of the medication to the nearest whole milliliter to simplify drawing up the dose in the syringe.
Cevap
The nurse must verify the compatibility of the medication with the D5W infusion, scrub the injection port closest to the client with an antiseptic before use, and strictly time the administration rate.
Safe administration of an IV push medication requires verifying compatibility with the primary continuous fluid to avoid precipitation. It also requires rigorous infection control by scrubbing the hub, and strict adherence to administration rates to avoid speed shock or toxicity.
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Safe Intravenous (IV) Medication Administration Principles