NUR 202 Intravenous Push (IVP) Skill

A comprehensive set of flashcards designed to aid the student in understanding and recalling key information related to the intravenous push (IVP) skill and the safe administration of IVP medications.

What is an IVP medication?

Administering a concentrated dose of a medication using a syringe, through an existing IV site.

Why is IVP medication administration considered a serious nursing responsibility?

Because IVP medications are immediately absorbed into the circulatory system, and complications can arise rapidly.

What must be done before administering an IVP medication?

Check for allergies, assess patient condition, and ensure proper IV site.

Who is allowed to administer IVP medications?

Only RNs and physicians can administer IVP medications; LPNs cannot.

What are the indications for using IVP medication?

To ensure effective concentrations of the drug are achieved rapidly, better control over peak serum concentration, and when a drug cannot be given by another route.

What are the advantages of IVP medication administration?

Rapid absorption into the circulatory system, better control over rate of administration, and ability to stop the procedure quickly.

Name a disadvantage of rapid IVP medication administration.

Speed shock, resulting in toxic levels of medication in the plasma.

What should you assess if a precipitate forms during IVP medication administration?

Stop pushing the medication, stop the primary IV infusion, change IV tubing, and contact the clinical pharmacist.

What nursing measures can reduce the risk of complications when administering IVP medications?

Slow administration, checking compatibility of medications, and proper dilution when necessary.

What is the recommended rate of administration for IVP medications?

Administer over a specified time frame, and some may require several minutes to push.

What is one critical factor to remember about IVP medication dosage compared to other routes?

Dosage for IVP medications may be less due to immediate absorption and rapid action.

What should the nurse do if the IV site shows signs of irritation, such as pain?

Monitor closely and potentially stop IVP administration if irritation persists.

What is the priority action for a nurse if a patient is prescribed a medication that requires continuous monitoring and the unit is not equipped for it?

Contact the physician and suggest transferring the patient to a critical care unit.

How should IVP medications be documented after administration?

Document the medication, time, dose, patient reactions, and any assessments performed.

What is the procedure for administering IVP medications through a saline lock?

Flush with saline before and after medication administration, and ensure proper technique with minimal increments.

What is the role of Two Patient Identifiers before administering medications?

To ensure accurate identification and prevent medication errors.

Why is it important to assess the IV insertion site regularly?

To check for complications such as infection, phlebitis, or infiltration.

What should be done if a medication is incompatible with the IV solution?

Stop the primary IV infusion and follow the procedure for administering the IVP medication through an incompatible solution.

What is the primary reason to monitor a patient’s vital signs during IVP medication administration?

To detect any potential adverse reactions early.

What techniques can be used to minimize vein irritation during IVP administration?

Diluting the medication and administering it slowly.

When should the nurse change the IV site?

Only as necessary or based on institutional policy and patient condition.

What complications can occur from improper IVP medication administration?

Infiltration, phlebitis, and speed shock.

What precautions should a nurse take before administering a medication known to cause hypotension?

Administer while the patient is lying in bed and monitor heart rate and blood pressure closely.

How long is the average circulation time for IVP medications?

18 to 24 seconds.

What should the nurse do if the IV does not have blood return?

Assess the IV site for patency before administering any medications.

What is a key point in regards to IVP medication flusing?

Always flush with saline between administrations of IV medications.

What is a common drug interaction concern with IV solutions?

Certain medications may interact negatively or become inactive when mixed.

What should the nurse do if a patient reports feeling funny during IVP medication administration?

Stop the procedure immediately and assess the patient's condition.

What should be done if a medication needs to be administered through a CVC?

Ensure proper flushing techniques and verify the patient's condition before administration.