How would I run a K-rider with NSS for the purpose of burning sensation? I have ran the K-rider @ 50mL/hr with NSS piggybacked @ 50mL/hr as well on concurrent mode. Is this correct or is there another technique to run this? Was i supposed to run one slower than the other?
Dec 5, '12
It most likely depends on your policy statement. Way you have written sounds about right, but I tend to do things on a pt or pt basis. Some Pts can tolerate things while others can't. Our k riders usually run 100ml/hr and they burn! I typically will up the NS and decrease the rate of the k rider until the pt is comfortable, to a degree. I still want to get that med into them asap but want them conformable and not hitting he call bell every 2 sec saying its burning. Also a warm blanket at the iv site really helps too.
Dec 6, '12
There are many factors that may contribute or exacerbate the burning sensation or aching often experienced by the patient and there are several things that may help
1 Slow the rate of administration
2 Check date and quality of IV site. A large,soft and full vein with a small catheter is best if you can get it it! re-site as needed and avoid areas of flexion
3 elevate and apply warm compress
4 ask that some lidocaine be added to the potassium