Another irritating how to question

JohnnyGage · Mar 9, 2003

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.

ERNurse752, RN · Mar 9, 2003

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.

:)

ohbet · Mar 9, 2003

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

ShandyLynnRN, BSN, RN · Mar 9, 2003

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.

JohnnyGage · Mar 9, 2003

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.

ERNurse752, RN · Mar 9, 2003

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?

ohbet · Mar 10, 2003

,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

cindyln · Mar 10, 2003

I just slow push the med,no stopping the infusion or flushing

frannybee · Mar 10, 2003

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.

JohnnyGage · Mar 10, 2003

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.

ohbet · Mar 11, 2003

Thanks guys