Class 6

Question 1

IV Medication Safety Issues
- Calculations will be done in ____/____ because a ______ is generally used when the IV has a medication in it
- Safe practice calls for a ______
- But if a pump is not available, then ______-____ tubing must be used since it is the most accurate

Answer 1

• mL/hr; pump
• pump
• micro-drip (60gtt/mL)

Question 2

Two Ways Administer Medications Through the IV Route:
1.
- Infusing only at specified times
- ___________ or __________
- ____________ or __________ _______
2.
- constantly infusing at all times with no breaks
- generally given as ____/____ or ____/____ or ____/____….

Answer 2

1. Intermittent infusion
   - IV Push (IVP) or Bolus
   - IV Piggyback (IVPB) or syringe pump
2. Continuous infusion
   - mL/hr; mg/hr; units/hr

Question 3

IV Push Method
- Small volume of medication manually administered over a very _____ period of time (________) by the nurse
- Syringe is placed directly into the IV _______ _______
- Always at a controlled rate
- to calculate= _____/_____

Answer 3

• short; duration
• injection port
• mL/min

Question 4

Diluting a Medication
- If a medication is to be given _____, but it is too ___________, it will need to be diluted before giving it
- in= _____ (med + dil= TOTALx)
- with= _____
- to= _______ (med +dilx =TOTAL)

Answer 4

• IVP; concentrated
• and
• and
• TOTAL

Question 5

Syringe Pump
- it is best used for ______ volumes of medication that require great ________
- this may be for a medication ordered _____ or ______
- the pump is programmed by the nurse by setting
- the volume needing to be ______
- the _______ for the infusion
- The RN must confirm the rate the pump calculates

Answer 5

• smaller; accuracy
• IVP or IVPB
• infused
• duration

Question 6

IVPB
- the medication infuses over a period of time intravenously, via the tubing
- it has a clear _____ and _____ time
- order does not always have a _________
- if the order or med reference includes a ______, us IT
- if a _________ is NOT available, choose _____ or ____ minutes

Answer 6

• start; stop
• duration
• duration
• duration; 20 or 30

Question 7

IVPB calculation
- the ________(___) of the IVPB fluid is used t calculate the rate, NOT the ____(___) of the drug
- the “mg” will be needed when calculating if it is safe/therapeutic

Answer 7

• volume (mL); dose (mg)

Question 8

Infusion rates for IVPB are generally much ______ than the hydration IV rate because of the need to get the medication ________ ________

Answer 8

FASTER; infused quickly