IV Lasix.

[Nursing Au]

If one patient only has one IV access site, and is on one unit of blood transfusion such as PRBC which will finish after 15 minutes, and at the same time if a doctor prescribes Lasix IV STAT, there would be two options to give Lasix IV STAT:

1. Do IV cannulation to open a new IV access, in order to give Lasix IV STAT. The procedure of IV cannualtion perhaps will spend ten minutes. Although it is an invasive procedure, Lasix IV can be given 5 minutes earlier before the blood transfusion finishes.

2. Wait 15 minutes for the blood transfusion to finish. After 15 minutes, flush and use the same IV access site to give Lasix. However, it is not given as STAT, as 15 minutes passed.

Both options have own advantage and disadvantage.

Which option is the best one?

[chare]

1 hour ago, Nursing Au said:

Doing an IV push during blood transfusion is not so much simple as what discussed at this forum.

[...]

If it isn't, why don't you explain why it's not this simple?

And while you're at it, why don't you explain these underlying issues that we're apparently not getting.

[Nursing Au]

The original post also aims to let younger members lack of experience to check the response from some members at this forum. It is not expected for some younger members to blindly follow on what some other members said at this forum, as these younger members are either lack of experience or lack of judgement in front of complex issues.

The post intends to let younger members practice independence in judgement.

[Wuzzie]

You're going about it the wrong way. Seriously.

[HarleyvQuinn, MSN, RN, NP]

32 minutes ago, Nursing Au said:

The original post also aims to let younger members lack of experience to check the response from some members at this forum. It is not expected for some younger members to blindly follow on what some other members said at this forum, as these younger members are either lack of experience or lack of judgement in front of complex issues.

The post intends to let younger members practice independence in judgement.

Wasn't aware this had turned into blackboard overnight. We being graded, too? ? Where can I submit the instructor eval?

[bag003, BSN]

4 hours ago, Nursing Au said:

Doing an IV push during blood transfusion is not so much simple as what discussed at this forum.

I believe some people do know the underlying issues.

Just leave the original post at the forum.

Yes, doing an IVP during blood transfusions is as simple as it seems. Stop blood, flush, give med, flush, reconnect blood. there is absolutely nothing wrong with that and no underlying issues.

[JadedCPN, BSN, RN]

4 hours ago, Nursing Au said:

The original post also aims to let younger members lack of experience to check the response from some members at this forum. It is not expected for some younger members to blindly follow on what some other members said at this forum, as these younger members are either lack of experience or lack of judgement in front of complex issues.

The post intends to let younger members practice independence in judgement.

This has to be a joke, right?

[AnnieNP, MSN, NP]

Troll?

[Kallie3006, ADN]

Has the class withdrawal date passed?

[donsterRN, ASN, BSN]

12 hours ago, Nursing Au said:

The original post also aims to let younger members lack of experience to check the response from some members at this forum. It is not expected for some younger members to blindly follow on what some other members said at this forum, as these younger members are either lack of experience or lack of judgement in front of complex issues.

The post intends to let younger members practice independence in judgement.

Um, what?

[farrasha, BSN]

Interesting, I am a new grad and in my first healthcare related job ever... in my unit, we always have to establish two IV sites before we are even allowed to start a blood transfusion. So in my case, if I had a med order I could use the other site so I didn't run across that issue. I always assumed that was everywhere but I just learned it's not, I guess it is just our policy.

[HarleyvQuinn, MSN, RN, NP]

24 minutes ago, farrasha said:

Interesting, I am a new grad and in my first healthcare related job ever... in my unit, we always have to establish two IV sites before we are even allowed to start a blood transfusion. So in my case, if I had a med order I could use the other site so I didn't run across that issue. I always assumed that was everywhere but I just learned it's not, I guess it is just our policy.

Not just yours. This has been the policy in the facilities I've worked in, too. Makes these situations extra simple. Also helps in the event of a reaction when you do need to DC the entire line and start fresh. No waiting to get new access, it's already there for emergent care needs.

[NurseBlaq]

Hmmm. Younger doesn't equate new to nursing and older doesn't equate years of experience because new and older nurses have varying degrees of experience. I was a young nurse and I'm still considered young and have many more years experience than many of my older peers.

Either OP is trolling, a student asking AN to do their homework, or a PA or MD trying to be subliminally condescending as it wouldn't be the first time this has happened. Either way, if no answer is satisfactory, why keep asking them? Google is a beautiful thing.