Do you look up the push rate for IVP meds? - page 3

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In school, we're taught to ALWAYS look up the push rate of an IVP and always go by that. But in clinicals, I've had people tell me they really don't do that unless they're serious meds (pain meds,... Read More

  1. by Cvepo
    Jun 14
    Specialty: 3 year(s) of experience in CCU, SICU, CVICU ; Joined: Apr '17; Posts: 127; Likes: 282
    Only med you should ever slam in is Adenosine. That being said, with a very agitated or restless intubated patient, I've had to push the Midaz fairly fast.
  2. by YumCookies
    Jun 14
    Occupation: Acute Care RN From: US ; Joined: Dec '14; Posts: 54; Likes: 64
    I do.

    I pushed IV vitamin B once. I couldn't find a push rate in my drug book so I pushed it over 5 seconds or so. I thought "Oh it's just vitamin B, it probably doesn't even matter."

    Wrong. The patient yelled bloody murder because it burned so bad going in. I immediately unclamped her IVF and it subsided. So yeah, I look it up and if I can't find it I call pharmacy. xD
  3. by canoehead
    Jun 14
    Joined: Oct '00; Posts: 8,789; Likes: 8,612
    If you have a ml of medication, and you are pushing in the Y site, you can put it right in, but know that the med will be entering the body based on the rate per hour of the IV. So its pushed quickly into the TUBING, and then infused slowly because the IV rate is slow.
  4. by kakamegamama
    Jun 14
    Occupation: student, formerly faculty, jackie of all trades Specialty: MCH,NICU,NNsy,Educ,Village Nursing ; From: US ; Joined: Feb '07; Posts: 1,036; Likes: 2,542
    Yes. Always, unless I know it like the back of my hand. Standards of practice are to be followed, and following them will help you protect your license, no matter what others tell you.

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