I have nursing school senior check-offs on Friday (last semester). If you have a triple lumen central line and a fluid of some sort is infusing and then you have an order for a med, either IV push or IVPB, where do you hook this up and do you flush/when/etc. I'm mainly confused about the incompatibility issue.
So here are the senarios...
Primary infusing with:
IVPB ordered compatible.
IVPB ordered incompatible.
IV push ordered compatible.
IV Push ordered incompatible.
If you can help me you will seriously save my life (or ability to graduate in December anyway).
Thanks guys! I'm all set I think if I pull a central line for check-off. The others are meds, iv meds, wound care (sterile dressing change), urinary cath, trach suction and care, and ng tubes. I think I'm ok on those, a lot to remember though. We have so many things that are automatic failures so that is why it is so nerve racking!
My check-off is tomorrow at 12:20pm so I'll let you know how I do!!!
Yes, they prob. will mix in the blood stream. But with a normal cardiac out put it should be enought to dilute them from each other. The lumens are far enough away from each other that it should be fine with meds. Think about where the cvc enters, think about the blood flow etc.. By-the-way, good job on the 4 point. I know the feeling, soemtimes you get sooooo much info in school that it's difficult to think of one more thing.
Yes, they prob. will mix in the blood stream. But with a normal cardiac out put it should be enought to dilute them from each other. The lumens are far enough away from each other that it should be fine with meds. Think about where the cvc enters, think about the blood flow etc.. By-the-way, good job on the 4 point. I know the feeling, soemtimes you get sooooo much info in school that it's difficult to think of one more thing.
Thanks...maybe that's the issue with neonates and rocephin (a pp said something about it). I would think that if they're septic, or on their way to becoming septic, that their blood flow may not be optimal? Is cardiac output altered in sepsis? Or maybe it's just the tiny anatomy???
;)
Atlnurstudt
52 Posts
Thanks guys! I'm all set I think if I pull a central line for check-off.
The others are meds, iv meds, wound care (sterile dressing change), urinary cath, trach suction and care, and ng tubes. I think I'm ok on those, a lot to remember though. We have so many things that are automatic failures so that is why it is so nerve racking!
My check-off is tomorrow at 12:20pm so I'll let you know how I do!!!
Thanks again,
Carrie