Examkin

Soru

Zorluk: OrtaPharmacological and Parenteral Therapies

A client admitted with an acute upper gastrointestinal bleed is receiving an infusion of packed red blood cells (PRBCs) through a single-lumen peripheral intravenous catheter. The healthcare provider issues a stat prescription for intravenous pantoprazole to help control the bleeding. What is the most appropriate nursing action for administering the pantoprazole?

  1. Initiate a second peripheral intravenous access site to administer the medication.Cevap
  2. B
    Attach the medication syringe to the lowest injection port on the blood administration set.
  3. C
    Pause the blood transfusion, flush the catheter with 0.9%0.9\% sodium chloride, administer the medication, and resume the blood.
  4. D
    Delay the medication administration until the blood transfusion is complete to avoid interrupting the infusion.

Cevap

The most appropriate action is to initiate a second peripheral intravenous access site to administer the pantoprazole, as blood products require a strictly dedicated line.
Blood products must be administered through a dedicated intravenous line. Medications should never be added to blood bags or piggybacked into a blood administration set due to the high risk of cellular hemolysis, precipitation, and clotting. Because the pantoprazole is a stat order for an active bleed, it cannot be delayed. The only safe and timely action is to establish a new peripheral IV access.

Adım Adım Çözüm

1
Analyze the current intravenous access and the continuous infusion.
The client has a single-lumen IV currently dedicated to packed red blood cells.
Identifying available access determines if a new medication can be safely administered.
2
Evaluate the compatibility of the prescribed medication with the current infusion.
Medications cannot be added to or piggybacked into a blood transfusion line.
Mixing medications with blood products can cause hemolysis, clotting, or altered drug efficacy.
3
Assess the urgency of the new prescription.
The pantoprazole is ordered 'stat' for an active gastrointestinal bleed.
Stat orders must be administered immediately and cannot wait for the blood transfusion to finish.
4
Determine the safest administration method.
A new peripheral IV line must be established.
This allows immediate administration of the stat medication without compromising the ongoing blood transfusion.

Anahtar Kavram

Medications must never be added to a blood product infusion line. A dedicated IV line is required for blood transfusions to prevent hemolysis and other life-threatening complications. Stat medications require immediate administration and warrant establishing new access if current access is unavailable.
Tahmini Süre:1m 0s
Bu soruyu puanla

Konular

Pharmacological and Parenteral Therapies

Bu konudan daha fazla soru