IV ADMIXTURE

SECOND HALF

• Very the medication order

• Perform necessary calculations

• Gather the required equipment

• Perform hand hygiene

• Prepare the medication using aseptic technique

• Add the medication to the appropriate IV solution

• Mix appropriately

• Inspect the final preparation

• Label the IV admixture correctly

• Perform a final check before administration

Basic steps in IV admixture preparation

IV priming

Is the process of filling the IV administration set with the IV solution before connecting it to the patient

• Removing air from tubing

• Ensure continous flow of IV solution

• Reduce the risk of introducing air into the patient’s circulation

What are the purpose of IV priming

Air embolism

Air entering the bloodstream can potentially cause an what?

• Prime the IV tubing properly

• Inspect the tubing for visible air

• Remove air before connecting the IV line to the patient

• Never intentionally introduce air into the IV system

Avoiding air bubbles are essential therefore?

C1V1=C2V2

The commonly used formula in IV admixture preparation

Initial volume

C1 represents what?

Volume needed for the initial solution

V1 represents

Desired concentration

C2 represents?

Final volume

V2 represents?

• Correct patient

• Correct medication

• Correct dose

• Correct diluent

• Correct concentration

• Correct route

• Correct volume

• Correct labeling

• No visible particulate matter or unexpected changes

• No visible air in the administration line

Before releasing or administering an IV admixture, verify:

Prepare accurately, maintain sterility, check carefully and administer safely

Key take away of IV admixture

• Aseptic technique

• IV priming

• Abscence of air bubbles

• Concentration calculations

• Medication/diluent compatibility

• Labeling and the final check

Hospital Pharmacy OSCE: