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Iv Drug Preperation: Gina S. Cuenca, RN, MN

The document discusses the proper procedure for preparing and administering intravenous drugs. It emphasizes the importance of correctly calculating dosages, taking necessary safety precautions, and checking preparations with a second practitioner to minimize risk of errors. The procedure involves reconstituting powdered drugs with diluents, withdrawing the calculated dosage, and administering it via an IV line or catheter while monitoring the patient for adverse reactions.

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Jainah Rose Ferrer Gubac
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200 views49 pages

Iv Drug Preperation: Gina S. Cuenca, RN, MN

The document discusses the proper procedure for preparing and administering intravenous drugs. It emphasizes the importance of correctly calculating dosages, taking necessary safety precautions, and checking preparations with a second practitioner to minimize risk of errors. The procedure involves reconstituting powdered drugs with diluents, withdrawing the calculated dosage, and administering it via an IV line or catheter while monitoring the patient for adverse reactions.

Uploaded by

Jainah Rose Ferrer Gubac
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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IV Drug PREPERATION

Gina S. Cuenca, RN,MN


 The preparation and administration of
intravenous (IV) drugs is a relatively common
procedure in many areas of clinical practice.

 The administration of medicines is 'not solely


a mechanistic task to be performed in strict
compliance with the written prescription of a
medical practitioner. It requires thought and
exercise of professional judgement‘.
 To practice accountably and in
accordance with requirements it
is essential that nurses are
competent in the preparation and
reconstitution of a wide variety of
drugs pertinent to their clinical
area. This requires an extensive
knowledge of pharmacological
agents and their application.
Risk management

In preparing to administer any


drug nurses must be aware of the
relevant health and safety issues,
notably the safe use and disposal
of sharps and good infection
control practice.
 The drug solution and its
preparation may be hazardous
to the health of the nurse
preparing it or to those within
the environment and the
necessary precautions must be
taken to minimise risk.
Drug errors can occur for
many reasons but it has
been suggested that many
are caused by some nurses
having poor mathematical
skills (Trim, 2004).
 Prior
to any drug preparation it is
essential that the dose/volume is
calculated correctly and that all
but the simplest calculations are
checked by a second practitioner.
Most organisations require that
two nurses check drugs for IV
administration, although in some
working environments this may
not be practical.
Purpose
 The administration of medication
is often a chief responsibility of
the nurse. The practice of
administering medication involves
providing the patient with a
substance prescribed and
intended for the diagnosis,
treatment, or prevention of a
medical illness or condition.
EQUIPMENT
 Anti microbial swab
 Prescribed medication
 Syringe with needle
The procedure

Intravenous drugs come in a


variety of presentations, the most
common being single-dose glass
ampoules or rubber-capped vials.
The procedure varies slightly for
each presentation.
1. Performed hand hygiene
R:Hand hygiene prevents the
spread of microorganism
2. Check that both drug and
diluents packaging are
intact and are to be used
prior to their expiry date.
R: To ensure safety and
prevent drug reaction
3.Check the drug and
diluents against the
prescription
R: To ensure accuracy and
to prevent errors
4.Break the seal on the
container of the diluents
R: To withdraw the
diluents
5- Using a syringe and
needle (or a withdrawing
needle) aspirate the
required volume
6. Remove the plastic covering
cap from the drug vial
 R: To removed to access

medication in vial
7.clean the rubber cap
with an alcohol wipe
R: to disinfect the vial
8. Insert a venting needle
into the rubber cap
R: to introduce the diluent
into the vials
9.Insert the diluent syringe into
the vial, via the rubber cap (Fig
3) - at a 45 degs angle, with
needle bevel uppermost.
R: this will prevent ‘coring’, or
breaking off a piece of
the rubber stopper and letting
it enter the drug.
10.Inject the diluent,
ensuring that it does not
rise above the tip of the
venting needle
11. Remove the diluent
syringe and needle.
11. Agitate the vial to
reconstitute the drug
12. Insert the syringe and
withdraw the required
amount of the drug,
tilting the vial to one side
if necessary.
13.Expel any air from the
syringe either into the vial
(by inverting the vial) or
into a sheathed needle.
R: Removal of air bubbles is

necessary to ensure
accurate dose of medication
Administering Medication by Intra
Venous Bolus or Push through an
Intravenous Infusion
1. Gather the equipment, Check the
medication order against the
physician’s order
R: This comparison helps to identify
errors that may have occurred
when orders when transcribed
2. Observed the ten rights
when preparing and
administering
medication.
R: This prevents error in
medication
3. Brings equipment to the
patient’s bedside
R: To save time and effort
4. Identifies and explains
the procedure to the
patient
R: Identifying the patient
ensures the right patient
receives the medications
and helps prevent errors;
gain the cooperation of
5. Check potency and
other reaction sign of
swelling, redness,
phlebitis.
R: IV medication must be
given directly into a vein
for safe administration.
6. Check for skin test
result of drug for IV
push.
R: to prevent drugs
reaction
7. Select an injection site
port that is closest to the
venipuncture site
R: using port closest to
needle insertion site
minimize dilution of
medication.
8. Cleanse port with
antimicrobial swab
R: Cleaning deters entry of
microorganisms when
port is punctured.
9. Uncap syringe. Steady
port with your
nondominant hand while
inserting syringe or
needle into center of
port.
R: This support injection
port and lessen risk for
10. Moves non dominant hand to
section of IV tubing directly
behind or just distal to the
injection port. Folds tubing
between fingers to temporarily
stop the flow of IV solution.
R:This temporarily stops flow of
gravity IV infusion and prevents
medication from backing up
tubing.
11. Inject medication at
recommended rate.
R: This delivers correct
amount of medication at
proper interval according
to manufacturer’s
directions.
12. Using same syringe
aspirate 1-2 cc of IVF to
flush the medicine given
13. Regulate rate of IV
fluid infusion as
prescribed.
14. Reassure patient and
observed for signs and
symptoms of adverse
drug reaction
15. Discard sharps and
other waste according to
Health Care Waste
Management.
16. Washes hand
16.Record administration
of medication
17.Evaluates patient’s
response to the
medication with in
appropriate time frame.
IV PUSH THROUGH THE HEPARIN LOCK DEVICE

1. Check medication card aginst the written


doctor's prescription.
2. Observe 10 R’s when preparing &
administering medication.
3. Explain procedure to the patient ( name of
the medicine & action )before
administration.
4. Do hand hygiene before & after the
procedure ( use gloves for chemo drug)

5. Gather equipment to include/but not limited


to IV tray, Heparin Sol., NSS diluent or
isotonic sol., 2.5cc syringes 3 pcs., tuberculin
syringe 1 pc.

6. Prepare medication to be administered, e.g,


antibiotic & draw it up into a syringe.
7. Fill a tuberculin syringe with Heparin sol.
Heparin sol. Is usually prepared with 0.1cc
Heparin plus 0.9cc NSS or Isotonic sol.
8. Fill the 2.5cc syringe with Isotonic sol. Or
NSS 1cc each.
9. If using Hep loc device with 3 way stop cock
with luer lock, rotate the stop cock so that
the line going to the patient is closed. ( this
will prevent back flow of blood )
10. Remove the cover of the injection port
aseptically & keep the sterility of the cover.

11. Check the patency, open the IV line, inject


NSS to flush the Heparin sol.
12. Close the IV line & remove saline syringe &
insert medication syringe into port.
13. Open the IV line & inject medication into
the vein, timing the flow rate according to
doctor's prescription or drug manufacturer's
instruction.
14. Observe patient for any adverse reactions &
do nursing intervention accordingly.
15. Close the IV line & remove medication
syringe.
16. Insert the saline syringe, open the line &
flush catheter tubing / IV cannula to flush the
line.

17. Close & remove saline syringe.


18. Close the IV line, remove syringe & return
the cover of the injection port aseptically.
19. Document in the patient's chart and
Kardex.
20. Discard waste according to Health Care
Waste Mgt.

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