NURS 225 Lecture Notes - Lecture 12: Phenytoin, Headache, Thrombophlebitis
4 Nov 2020
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High risk medication continuous infusion - requires direct supervision. Dilantin - leads to cardiac arrest if given direct iv line to finish going in! Prime your line with medicated fluid on continuous drips, it will take a long time for the. Use medication port nearest the patient"s hand. Most units do not allow students to give direct iv. Give it to the medication port nearest the drip chamber. Less discomfort if an iv line is already put in place. Useful to establish and maintain therapeutic blood levels. Use for high levels of pain (7+/10) Can lead to speed shock at too rapid onset. Possible dangerous complications (e. g. fluid overload, infection, vein irritation, extravasation, thrombophlebitis, anaphylaxis) No time to correct error once administered. Keep syringe or bag for further investigation. Provide patient comfort and reassurance (explain what happened) Start cpr, pull call bell out of the wall. Flush iv site for patency for any anticipated antidotes/emergency medications.
