Administering Intravenous Push Medication Through an Existing Infusion (Continuous IV)
Start hand hygiene and wear a suitable glove.
Check doctor order and review patient file for allergies.
Check medication compatibilities with current active medications.
Verify rate of administration.
Start preparing the required dose.
Verify correct patient.
Assess IV for signs and symptoms of infiltration or phlebitis (and if present, stop until new IV site is obtained).
Turn off IV by turning off pump and/or clamping the tubing directly above the access port.
Swab access port with alcohol or other antiseptic agent according to institutional policy.
If medication is not compatible with IV solution, flush IV line with 2 to 5 mL of normal saline before administration of medication. If medication is compatible with IV solution, normal saline flush is not necessary; continue to next step.
Connect medication syringe to access port via needleless adaptor.
Pull back on plunger of syringe to observe blood return (which verifies placement of IV in vein).
Gently instill medication over required time frame (typically 2 to 5 minutes).
Assess patient carefully during administration for any adverse reactions.
Disconnect syringe when medication is completed.
Flush IV line with 3 to 5 mL of normal saline, instilling at same rate of medication administration in order to administer the medication left in tubing at proper infusion rate.
Turn IV back on or unclamp tubing, then readjust rate appropriately.
Dispose of syringe in sharps container.
Remove gloves, perform hand hygiene, and document medication administration.
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