Lab 1 - IVP Medications

Intravenous Push (IVP)

The manual administration of a small volume of concentrated medication directly into the venous system via peripheral/central venous access

When IVP is used

- Emergency

- Immediate effect is needed

What IVP can not be used for

- Parenteral nutrition

- Continuous medication infusion

- Blood

Amount of sodium chloride to be flushed for IVP for adults

10ml

Amount of sodium chloride to be flushed for IVP for children

5ml

Amount to be flushed for a peripheral saline lock for adults

3ml

Amount to be flushed for a peripheral saline lock for children

1-2ml

Normal Time for IVP Flush

2-5min

Normal amount of dilution added to IVP

10ml

Amount of time 10ml of diluted medication is pushed over

2min

Potential Complications of IVP

- Speed shock

- Infiltration

- Extravasation

- Thrombophlebitis

- Allergic reaction

- Infection

Speed Shock

Systemic reaction to the rapid infusion of a substance unfamiliar to the patient's circulatory system

Causes of Speed Shock

- Administering IVP too fast

- Improper dilution

- Ignoring administration rates

S/S of Speed Shock

- Dizziness

- Flushing

- Impending doom felling

- Headache

- Chest pain

- Hypotension

Infiltration

When fluids enter the surrounding space of the vasculature

S/S of Infiltration

- Blanching

- Edema

- Coolness

- Pain

- Numbness

Nursing Actions for Infiltration

- Stop infusion

- Discotinue IV

- Elevate extremity

- Warm compress

- Monitor site

- Document

Extravasation

When interstitial medication causes damage to the surrounding tissues

Nursing Actions for Extravasation

- Stop IV

- Elevate extremity

- Notify physician

Thrombophlebitis

Inflammation of a vein

Causes of Thrombophlebitis

- Mechanical

- Chemical

- Bacterial

Nursing Actions for Thrombophlebitis

- Stop infusion

- remove IV

- Warm/cold compress

- Elevate extremity

- Monitor for s/s of infection

- Document

Nursing Actions for Allergic Reactions

- Stop IV STAT (don't flush)

- Maintain IV

- Monitor VS

- STAT medications

- Document

S/S of Infection

- Pain

- Warmth

- Redness

- Discharge

- Fever

Nursing Actions for Infection

- Stop IV

- Remove IV

- Take culture if CRBSI suspected