Examkin

Soru

Zorluk: OrtaPharmacological and Parenteral Therapies

A nurse is preparing to deliver an intermittent antibiotic infusion into an existing continuous intravenous line utilizing the backpriming technique. Arrange the following actions in the correct chronological sequence.

  1. 1Confirm the compatibility of the prescribed antibiotic with the current continuous intravenous fluid.
  2. 2Close the roller clamp on the new tubing and spike the antibiotic fluid container.
  3. 3Scrub the uppermost injection port on the primary IV tubing with an antimicrobial swab.
  4. 4Connect the new tubing to the injection port and lower the antibiotic container below the primary bag to backprime.
  5. 5Hang the antibiotic container on the pole above the primary bag and program the infusion pump.

Cevap

The correct sequence is: Confirm compatibility, close the clamp and spike the bag, scrub the injection port, connect and lower the container to backprime, and finally hang the container above the primary bag and program the pump.
Safe intravenous administration requires a systematic approach. The nurse must first ensure compatibility between the primary and secondary fluids. Next, the equipment is prepared by closing the secondary clamp and spiking the bag. Aseptic technique is then maintained by scrubbing the primary port before connection. Connecting the tubing and lowering the secondary bag allows backpriming, which effectively clears air from the line without wasting any medication. Finally, hanging the secondary bag higher than the primary bag ensures the secondary medication infuses first due to gravity, and the pump is programmed to deliver the prescribed dose.

Adım Adım Çözüm

1
Confirm the compatibility of the prescribed antibiotic with the current continuous intravenous fluid.
Ensures the two solutions will not react or precipitate.
Patient safety is prioritized by avoiding dangerous chemical incompatibilities within the infusion system.
2
Close the roller clamp on the new tubing and spike the antibiotic fluid container.
The secondary equipment is prepared without spilling medication.
Closing the clamp prevents the medication from running out immediately upon spiking the container.
3
Scrub the uppermost injection port on the primary IV tubing with an antimicrobial swab.
The access point is disinfected.
Strict aseptic technique prevents the introduction of pathogens into the patient's bloodstream.
4
Connect the new tubing to the injection port and lower the antibiotic container below the primary bag to backprime.
Air is cleared from the secondary tubing.
Backpriming uses the primary fluid to clear the line, preventing both air embolisms and the loss of any medication.
5
Hang the antibiotic container on the pole above the primary bag and program the infusion pump.
The setup is complete and ready to infuse.
The secondary bag must be physically higher than the primary bag to exert greater hydrostatic pressure, allowing it to infuse first.

Anahtar Kavram

Intravenous Piggyback (IVPB) Administration and Backpriming
Bu soruyu puanla

Konular

Pharmacological and Parenteral Therapies

Bu konudan daha fazla soru