Quote from Raebeth
dilaudid, dilaudid, dilaudid!!! I am a very new nurse and I can not tell you how many times I have pushed this drug! Also a good one to know is Ativan. When it is ordered IV push you have to dilute it. A lot of my preceptors asked me what I was doing when I was diluting it in normal saline. When I told them that that is what it says to do in my drug book and not to mention it even says it on the vial its self "dilute before use" They were like, "Oh, I never do that. Whoops!" Make sure you look up IVP meds to know if they have to be diluted, and how fast or slow you can push them and what IVF they are compatible with. Good lucK!
I dilute all my IV meds in NS, whether it's required or not. If they're a mix (like protonix or solu-medrol), I always use as much NS as I can leave in the 10ml syringe.
From a physiology standpoint, all of this stuff is poison to veins, so the more dilute the solution, the better off the vein will be. Also, if the IV if saline-locked, I make sure to flush with NS AFTER the meds, for the same reason noted above. It will save the vein and the IV site!
As a side note, when you flush saline-locks, make sure to flush BOTH ports. I've seen several ports clot off lately because other nurses only run fluids or flush 1 of the ports.