NURS 2820U Lecture Notes - Lecture 13: Titration, Glucose, Intravenous Sugar Solution
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Why choose iv route med?- first pass effect. Goes directly into systematic circulation, doesn"t go to stomach. We can give large bolus of meds thru iv, medicate and hydrate at same time. Student will never give iv push (reconstitute dilute with a bit of solution then push right into iv. You will always mix meds into piggyback bag/ primary bag. Monitor very closely, know very well side effects, adverse reactions. Whtas a med with antidote morphine (antidote arpipan) Know iv solution, what known as so talk about compatibility, know iso,hypo,hypertonic. When reconstitute med- change its constitution, change from powder to liquid. It has a short shelf life, usually 24 to 48 hrs after mixing. Example : dr. order ancef 1 g iv q 12 hr. Get rid of the crystals at bottom of vial (can lead to embolism or clogging of tubing) Choices of minibag = 50 ml sodium chloride and dextrose.
