question about IV push

  1. I would ask this question to the nurses on my unit but I've already asked them a million questions already, so maybe someone here can help me. When you give a medicine IVP do you usually dilute it in NS. I know morphine, phenergan, you should dilute but what about other drugs? I had to give Solumedrol 125mg/2ml IVP the other day and I didn't know if I had to dilute it but I just did anyway to be on the safe side.
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    About Navarre

    Joined: Jul '06; Posts: 5

    20 Comments

  3. by   RNsRWe
    Quote from Navarre
    I would ask this question to the nurses on my unit but I've already asked them a million questions already, so maybe someone here can help me. When you give a medicine IVP do you usually dilute it in NS. I know morphine, phenergan, you should dilute but what about other drugs? I had to give Solumedrol 125mg/2ml IVP the other day and I didn't know if I had to dilute it but I just did anyway to be on the safe side.
    Why would you give a med via IVP, that you didn't know how to give, without looking it up in a current drug book? That's where you would have found your answer. You could also have checked with the pharmacy!

    You diluted a med without knowing if it should be?
  4. by   jmgrn65
    Always ask or look up a med that you don't know before giving it, whether it is IV, IM or PO. Remeber you can't get back what has been given. Don't feel you are asking too many questions. Even nurses that have numerous years of experience ask other nurses questions. :spin:
  5. by   NotReady4PrimeTime
    You should have a parenteral drug manual on your unit that gives you all the pertinent information regarding any and all injectable drugs used in your facility. It should give you infomation about who can legally give the drug (some MUST be given by the physician) and under what circumstances, what the drug is for, what the usual dose is, what kind of fluids it's compatible with, maximum concentrations, recommended routes and rates, and drug compatibilities. I'd advise you to look for it ASAP and familiarize yourself with its contents. It can literally be a life saver!!
  6. by   willdgate
    Quote from Navarre
    I would ask this question to the nurses on my unit but I've already asked them a million questions already, so maybe someone here can help me. When you give a medicine IVP do you usually dilute it in NS. I know morphine, phenergan, you should dilute but what about other drugs? I had to give Solumedrol 125mg/2ml IVP the other day and I didn't know if I had to dilute it but I just did anyway to be on the safe side.

    I would it's NS like flushing it. Whatcha think?
  7. by   NotReady4PrimeTime
    Actually, Solumedrol can be given IV push undiluted (maximum concentration 125 mg/mL) over 1-5 minutes for low dosing (<1.8 mg/kg or <12g mg/dose). Moderate dosing (>2 mg/kg or <250 mg/dose) should be given over 15-30 minutes and high dose (15 mg or >500 mg/dose) over an hour. It is compatible with D5W, NS and combinations of dextrose and saline.
  8. by   RNsRWe
    Quote from janfrn
    Actually, Solumedrol can be given IV push undiluted (maximum concentration 125 mg/mL) over 1-5 minutes for low dosing (<1.8 mg/kg or <12g mg/dose). Moderate dosing (>2 mg/kg or <250 mg/dose) should be given over 15-30 minutes and high dose (15 mg or >500 mg/dose) over an hour. It is compatible with D5W, NS and combinations of dextrose and saline.
    Something that sticks out at me from the original post was that this med was given without looking it up, indicating the OP didn't know how fast it should be pushed either...? How would she decide how fast to give it, particularly if she gave a random amount of diluent along with the med itself? That concerns me more than whether a diluent was used and was not necessary.

    Just my thoughts, since I would've used the drug book.
  9. by   gitterbug
    When I have questions regarding drug administration, I have always looked to the pharmacy. Sure I have looked it up in the drug book, but sometimes I needed a little more help. I have never been treated poorly when I asked,
    and the answer was given kindly and quickly.
    NEVER give a medication if you are not sure how to give it.
  10. by   balutpinoysabutuan
    :gandalf: dont give or do anything if your not sure of;dont be shy to ask coz it may save lives.
  11. by   crb613
    Quote from Navarre
    I would ask this question to the nurses on my unit but I've already asked them a million questions already, so maybe someone here can help me. When you give a medicine IVP do you usually dilute it in NS. I know morphine, phenergan, you should dilute but what about other drugs? I had to give Solumedrol 125mg/2ml IVP the other day and I didn't know if I had to dilute it but I just did anyway to be on the safe side.
    I just always look it up myself if I am not sure. I just am too scared to take any one's word for how to give/dilute a drug. I owe it to my patients to be as safe as humanly possible. There are just so many drugs that I do not know about......my advise is always look up anything thing you are unsure about. Good Luck & be safe!
  12. by   Spacklehead
    Always look meds up yourself. Even a nurse with 20+ years experience could accidentally give you the wrong info on how to dilute an IV med.
  13. by   10MG-IV
    Quote from softballmama

    always look meds up yourself. even a nurse with 20+ years experience could accidentally give you the wrong info on how to dilute an iv med.
    yes, look before you leap, 1 min prep work can save alot of explaining and heartache. we as nurses are pushed to work faster, i say we need to work slower and safely. in the er or on the floor in a code my hands still tremble. i have done this for 30 years. i still get the rush. i will grab a doc, or nurse or someone with the ability to "figure" doses rates and drips and double check myself. unit dose it wonderful though. also... never believe the patient if they say they are 198 lbs. every one actually weighed were 248+ and that will change some med doses.(and i am no skinnyminny myself).
  14. by   TangoLima
    I agree with the other posters. If you don't know a drug, look it up or ask the pharmacy.

    BTW, you cannot assume that all drugs are compatible with NS. You might think that diluting with NS is the safe way to go, but some meds shouldn't be diluted at all, or aren't compatible with NS and should be diluted with something different.

    To find out, look up the drug in your drug guide. There should be a section under IMPLEMENTATION regarding IV compatibility, etc.

    You would think that ALL nursing schools would drill this into their students, but this wasn't really stressed in our program until last semester. Then, just because we had a CI who was a stickler for this! IMHO, we were done a disservice by not having stricter CI's all along!

    Anyhoo.......Be careful out there! :uhoh21:

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