IV case study

Hi,

I'm stuck with this question:

An order is received to convert a pt's continuous IV infusion to a saline lock. The pt is complaining of pain and has a new order for Demerol 50 mg I.V. What equipment must be gathered and what are the priorities of nursing care? What nursing interventions must be implemented?

Thanks in advance to those who help!

d/c the infusion-if it is NS, you do not have to flush the line; otherwise, flush the line with at least 5 cc NS. If the saline lock isn't already connected, attach it to a NS flush and prime it before placing it on, (alcohol the site first) and then flush a little more through.

Re: demerol-Assess and document the pain, look over the order to make sure you have a complete order (prn pain, x 1 now, q 4 hours, IVP, IV in 50 cc NS, etc...). If the order is OK, follow it after getting a set of vitals for baseline (hold, notify prescriber and document if anything is amiss). Remember to flush the site after the demerol and clamp off the IVL. Reassess the patient at some reasonable time later, include another set of vitals, the response regarding the pain med & document it.

Hope I didn't forget anything.

You need to find out if the medication needs to be diluted and how fast it can be given

Thank you for all your replies. I really appreciate that.