06.09 IV Push Medications

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140 Must Know Meds (Book)
Medication Administration Pro-Tips (Cheat Sheet)
Starting an IV (Cheat Sheet)
Spiking & Priming IV Bags (Cheat Sheet)

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In this video, we’re going to give you a technique for IV push medications. Now, the most important thing to know is that you have to administer them over the prescribed time or you could do harm to the patient. The way we’re going to show you is just ONE possible way to make sure you get the right timing.

To start, this technique requires a little bit of extra math. First, calculate the total dosage required and draw that up in a syringe. In this case, we’ll say it’s 2 mL. Then figure out how many minutes it has to go over - let’s say it’s 2 minutes. Now you can find out how many mL in ONE minute - so that would be 1 mL per minute, right? Now, LAST calculation - divide that by 4 to find how many mL per 15 seconds. So now we’re left with this partial dose of 0.25 mL per 15 seconds. Write that down, because we’re going to use it in a second!
This method is a super safe way to do this, and it requires that you have a compatible IV fluid like Normal Saline infusing.
So here’s what you’re going to do. Go to your pump and program a ‘secondary’ infusion - you don’t have to have a secondary bag, we’re just using the pump to our advantage.
You’re going to set that secondary infusion to run at 150 mL/hr for 15 mL’s. That will be a 6 minute infusion - enough to flush your meds in AND flush behind it!
Now you’re going to clean the port closest to the patient and attach your IV push medication syringe there.
With that ‘secondary’ infusion running, you’re going to push the partial dose you calculated and count to 15. So - push 0.25 mL, count to 15, push 0.25 mL, count to 15, and keep doing that until you’ve given the whole dose. Then you can disconnect your syringe.
The fluids are going to push your drugs in for you, and you can be SURE that you haven’t administered it too quickly.
Once the secondary infusion is done, the pump should automatically switch back to the primary infusion - but always double check that it did.

Like I said, this is just ONE way to make sure you are safely administering IV push medications. But if you’re ever unsure how fast to push something, always check with your pharmacist.

And, of course, follow your 6 rights, document the administration, and monitor your patient for effects of the drug. We love you guys, go out and be your best selves today. And, as always, happy nursing!
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