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IVP admin rates?

First Year   (931 Views | 4 Replies)

JustAdmitToObs has 5 years experience and specializes in CDU, cardiac telemetry, med-surg.

1,547 Profile Views; 51 Posts

In my first month of orientation, the biggest challenge I am having is with the tactile skills that nursing school either didn't allow us to do or didn't provide many opportunities to practice.

I'm very tentative with IVP's because I'm unclear of how long the administration rate is. I'm not even sure how slow/fast to flush. I've asked experienced nurses but they haven't really provided any tips on how to remember the rates.

So far, the IVP meds I've been doing are mainly protonix, Zofran, and dilaudid. I'm clear on pushing narcotics over 2 minutes. Code drugs and flushes are obviously getting slammed, so I've got that.

Would love to hear some tips and tricks on this!

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KelRN215 has 10 years experience as a BSN, RN and specializes in Pedi.

1 Article; 7,344 Posts; 68,938 Profile Views

Look up the drug before you administer it. The formulary will tell you how fast or slow to push it.

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annie.rn has 21 years experience.

546 Posts; 12,602 Profile Views

I've been doing this 20+ years and I still have to look up the push rates on some meds. Eventually you will memorize the meds you use most often. Until then, you could make yourself a cheat sheet. Remember that the rates are guidelines ( w/ the exception of a few cardiac meds that have to be pushed very quickly). You need to take the patient's clinical status into account and adjust as needed. Lots of times I push meds more slowly than recommended. Don't usually push them faster than recommended.

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cayenne06 has 10 years experience as a MSN, CNM and specializes in Reproductive & Public Health.

1,394 Posts; 18,696 Profile Views

Yeah, I have to look up push rates for anything I don't use on a near-daily basis. Toradol, narcotics, zofran. . . those are about the only ones I can remember off the top of my head.

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NICUmiiki has 5 years experience as a BSN, RN and specializes in NICU/PICU Flight Nursing.

1,760 Posts; 25,954 Profile Views

Look them up in the IV drug book. The unit should have one. Look up each IVP med. It's important to know dilution, compatibility, and admin rate.

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