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Vitamin K - IV route & clarifications



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Nov 22, 2008 04:52 PM

Vitamin K - IV route & clarifications


!). I had an order for Vitamin K "Slow I.V. push" last night. Anyone else give it this route?
( Pt's INR was 4.8 )

2). When you clarify with pharmacist on meds (whether it be route, compatibility, dilution etc.) do you document anything on the MAR?

- I clarified this route with pharmacy and he said the literature on Vitamin K IV route is outdated and it is okay to use IV push - slowly.

-I always want to note on the MAR that I have clarified unusual orders... not only 'for the record' but also so the next nurse can see it was clarified in case she needs to do the same etc. My senior nursing partners say 'not necessary to document clarification, it's only "for your own piece of mind" - I say I want it for some CYA too - what say you guys?


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17 Comments
No. 1
from Babs0512
Old Nov 23, 2008, 07:54 PM

Default Re: Vitamin K - IV route & clarifications
I've never known Vit K to be given any way but IM - it has always been ordered that way, so I've never had any reason to clarify other routes. Now you have me curious, so I will have to look into it.

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No. 2
from Babs0512
Old Nov 23, 2008, 08:02 PM

Default Re: Vitamin K - IV route & clarifications
According to the little of read on Vit K administration, the most typical routes are IV and Sub Q and oral. IM is not even mentioned. That is how I've always given it, per order.

It should be given IV, according to the literature, when bleeding is occurring, otherwise sub Q.

I guess I'll have to discuss this with our pharmacy for future reference.

Thanks

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No. 3
from Virgo_RN
Old Nov 25, 2008, 12:21 AM

Default Re: Vitamin K - IV route & clarifications
I've given it IV and PO, never IVP.
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No. 4
Old Nov 25, 2008, 07:40 PM

Default Re: Vitamin K - IV route & clarifications
the new research shows that the best way to give vit k is po works better then iv or im
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No. 5
from CarrieH
Old Nov 25, 2008, 09:15 PM

Default Re: Vitamin K - IV route & clarifications
You're right to document everything... if some thing goes wrong, then you've documented that you double-checked an unusual order.
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No. 6
Old Nov 27, 2008, 12:35 AM

Default Re: Vitamin K - IV route & clarifications
Originally Posted by CarrieH View Post
You're right to document everything... if some thing goes wrong, then you've documented that you double-checked an unusual order.
Thank you; it just seems to make more sense to document.
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No. 7
from Achoo!
Old Nov 27, 2008, 11:08 AM

Default Re: Vitamin K - IV route & clarifications
I have given it IV piggyback, but never push. Definately document everything.
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No. 8
Old Nov 27, 2008, 01:17 PM

Default Re: Vitamin K - IV route & clarifications
I've given it SQ, PO and via IVP. It is a very slow push - if my memory serves me 1mg per 1-2 minutes. I once gave 10mg IVP for an INR of >14. I would document your clarification just to cover yourself in case questions come up later. Good call.
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No. 9
from mcknis
Old Nov 27, 2008, 03:46 PM

Default Re: Vitamin K - IV route & clarifications
I have given it IM and IVPB(30 mins), but never IVP. I would be cautious but you would be right in documenting it. Always chart to cover your butt no matter what!
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