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Zorluk: OrtaPharmacological and Parenteral Therapies

An adult client is currently receiving a continuous intravenous (IV) infusion of pantoprazole for a gastrointestinal bleed. The healthcare provider's new orders include a secondary IV infusion of ciprofloxacin and an IV push dose of ondansetron for nausea. Which of the following actions must the nurse perform to ensure safe parenteral medication administration? (Select all that apply.)

  1. Flush the IV tubing with 0.9% sodium chloride before and after administering the IV push ondansetron.Cevap
  2. Verify the Y-site compatibility of ondansetron with pantoprazole prior to administering the IV push dose.Cevap
  3. Administer the IV push ondansetron slowly over 2 to 5 minutes to prevent adverse cardiovascular reactions.Cevap
  4. D
    Connect the secondary ciprofloxacin infusion to the primary Y-site without consulting a drug reference if both solutions are visually clear.
  5. E
    Program the infusion pump rate for ciprofloxacin by dividing the total medication volume by the prescribed administration time in minutes.
  6. F
    Administer the IV push ondansetron into the Y-site port located furthest from the client's IV insertion site.

Cevap

The correct actions include flushing the IV tubing with 0.9% sodium chloride before and after the IV push, verifying Y-site compatibility prior to administration, and pushing the medication slowly over 2 to 5 minutes.
Safe parenteral therapy requires meticulous attention to compatibility, flushing protocols, and administration rates. Flushing the line clears incompatible fluids and ensures full dose delivery. Verifying Y-site compatibility prevents chemical precipitation in the tubing. Pushing the medication slowly over 2 to 5 minutes prevents speed shock and immediate adverse cardiovascular reactions.

Adım Adım Çözüm

1
Identify the core safety requirements for administering multiple parenteral medications through a single IV access.
The nurse must safely manage a continuous infusion (pantoprazole), a secondary infusion (ciprofloxacin), and an IV push (ondansetron) without causing drug interactions or patient harm.
Simultaneous administration of multiple IV medications increases the risk of physical and chemical incompatibilities in the IV tubing.
2
Evaluate the principles of IV push administration.
Safe IV push technique requires checking compatibility, using the Y-site closest to the patient, flushing the line before and after, and administering at the manufacturer's recommended rate.
These steps ensure the medication enters the bloodstream promptly and prevents complications such as speed shock or line occlusion.
3
Evaluate the principles of secondary IV infusions and pump programming.
The nurse must verify drug compatibility regardless of visual clarity and program the pump in mL/hr by converting the administration time into hours.
Microscopic precipitates can form even in visibly clear solutions, and infusion pumps strictly require hourly rate calculations.

Anahtar Kavram

Safe Parenteral Medication Administration
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Konular

Pharmacological and Parenteral Therapies

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