Advanced IV medication administration (1)(2) - Advanced Dosage Calculation Dr Rhonda Maneval Associate Professor of Nursing Objectives Accurately

Advanced IV medication administration (1)(2) - Advanced...

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Advanced Dosage Calculation Dr. Rhonda Maneval Associate Professor of Nursing
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Objectives Accurately calculate IV push medication drug dosages. Implement steps to ensure safe administration of IV push medications including: correct dilution, infusion rate, and compatibility with other medications and IV fluids. Define the concept of titration Perform calculations needed for the administration of titrated drugs.
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Advanced Intravenous Calculations: IV Push Dosage calculations for IV push injections are the same as calculations for other parenteral injections. When giving medications IV push, it is important to follow the manufacturer or hospital guidelines for the rate of administration.
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IV Push Medications Require extra vigilance when administering Be aware of high alert drugs such as potassium, calcium, magnesium, 50% dextrose and narcotics. Additional rights: Right dilution Right flush Right speed Right monitoring
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IV Push Medications Example: Order: Dilantin 200 mg IV now Supply: Dilantin 50 mg per mL Step 1: Calculate amount to be given
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IV Push Medications Step 2: How fast can the medication be given? Refer to literature: Lexicomp: “The maximum rate of IV administration is 50 mg/minutes. Highly sensitive patients (eg. Elderly, patients with pre-existing cardiovascular conditions) should receive phenytoin more slowly (eg. 20 mg/minute).”
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