[Sue Damones]

When administering Vitamin K IV, how fast - or slow- do you push it? Are you supposed to dilute it at all?

Thanks!

[CraigB-RN]

Originally Posted by Sue Damones

When administering Vitamin K IV, how fast - or slow- do you push it? Are you supposed to dilute it at all?

Thanks!

Diluted into a running IV 1mg/min per Davis Drug Guide

[Michigan RN]

I think if its diluted in 50mls IVPB, you can run it over 15-30minutes.

[Sue Damones]

So do you usually give it IVP or run it as a piggyback in some 0.9NS? Ours comes 10mg in 1 ml.

[elizabells]

Don't know if it's the same in adults, but the Neofax says it should be pushed sloooooooooowly with an MD present d/t risk of sudden cardiac arrest. We almost always give it IM, though, even when the indication would suggest IV administration. I think it's because the docs don't want to have to come hang out while we give it.

[barefootlady]

Give IV meds slowly so as not to tax heart.

[Sue Damones]

Originally Posted by barefootlady

Give IV meds slowly so as not to tax heart.

I have given many IVP meds; I am specifically asking about Vitamin K IV, and the reasoning behind it. I think I'll ask the pharmacist tomorrow.

[nrsang97]

Pharmacy always sends it up into a IVPB or us. We give it over 30 minutes.

[BSNDec06]

Pharmacy and MDs gave us the okay to give it IVP over 5 minutes. According to the heme docs at my old hospital, the incidence of complications was low. However, the warnings in the drug guides were enough to give me pause and make sure that an MD was on the floor when I gave it.

[chenoaspirit]

I watched a nurse give it IVP VERY slowly, the patient ended up in ICU. I wont give it IV, I just wont risk it. When I get such an order, I request it IM.