Another irritating how to question

  1. What is the correct procedure,its not in our P and P,for giving a prn MS push for pain through a mid-line when the Patient is having continous fluids thru the line?
    Stop the infusion,push the MS,flush with NS 5 to 10cc,and then restart the infusion?
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  2. 25 Comments

  3. by   JohnnyGage
    I'm not quite sure I understand the question but...

    If the IV fluids are compatible with morphine, why stop the infusion at all? Simply push the MS into one of the injection ports.

    If the two are not compatable, then stop the infusion, flush with 5 ml saline, give the morphine, flush again and restart the infusion.
  4. by   ERNurse752
    I would think it would depend on what the type of fluid was, and the rate.
    If it's a compatible fluid going fast enough, I'd just give it into the line with the fluid running. If not, I'd stop it, flush it, push the MS, re-flush, and restart.
  5. by   ohbet
    The fluid is simply D5-1/2NS,so simply push the MS with the infusion running?
    The reason i asked the question,although it seems very straight forward now,was when I asked a few of my collegues,I got two different answers,so I thought I would further my search here.Thanks
  6. by   ShandyLynnRN
    yes, you can just push it with the fluids running. A lot of times I will hook the syringe up (if fluids are running on a pump) to the secondary port, and program the pump to push it in as a pigyback.
  7. by   JohnnyGage
    Originally posted by ohbet
    The fluid is simply D5-1/2NS,so simply push the MS with the infusion running?
    The reason i asked the question,although it seems very straight forward now,was when I asked a few of my collegues,I got two different answers,so I thought I would further my search here.Thanks
    I would just push the morphine directly into one of the injection ports on the IV fluid. In fact, that's the way I give 99% of my IV meds -- unless the two are incompatable, of course. No need to stop the fluid at all.
  8. by   ERNurse752
    Originally posted by ohbet
    The fluid is simply D5-1/2NS,so simply push the MS with the infusion running?
    The reason i asked the question,although it seems very straight forward now,was when I asked a few of my collegues,I got two different answers,so I thought I would further my search here.Thanks

    Yep. What did they say?
  9. by   ohbet
    ,Id like once more to explain my question further.I think my concern is a midline,and limited experience pushing meds thru a midline,and I wanted to know ,because its a mid line ,do we have to flush with NS after the MS to clear the line to prevent occlusion.
    What did they say ERnurse?
    ;One said push the MS while Iv running.
    One said stop the infusion,push the MS and flush with 5 to 10 NS then start infusion.
    And I think another said,not sure tho,stop IV ,push MS start IV again.
    I think my big concern is preventing mid line occlusion
  10. by   cindyln
    I just slow push the med,no stopping the infusion or flushing
  11. by   frannybee
    Provided you're giving it while an infusion is running, go with what everyone else has said and just push it. Occlusion only really becomes a drama if your fluids are not compatible (then you stop, flush, push, flush and restart) or if you're pushing from scratch into a line through which nothing is running - then you *must* flush before and after.
  12. by   JohnnyGage
    Originally posted by ohbet
    ,Id like once more to explain my question further.I think my concern is a midline,and limited experience pushing meds thru a midline,and I wanted to know ,because its a mid line ,do we have to flush with NS after the MS to clear the line to prevent occlusion.
    What did they say ERnurse?
    ;One said push the MS while Iv running.
    One said stop the infusion,push the MS and flush with 5 to 10 NS then start infusion.
    And I think another said,not sure tho,stop IV ,push MS start IV again.
    I think my big concern is preventing mid line occlusion
    As long as fluids are infusing, there shouldn't be any difference whether you administer meds through a peripheral IV, a central line, or a midline.
  13. by   ohbet
    Thanks guys
  14. by   nimbex
    Yep, agree with the above, as long as the line is a maintenence fluid like Ns, D5, slow push the mso4. but not with cardizem, heparin.... other meds that would consider a bolus, that would affect therapudic levels, despite compatability.

    good question

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