Jump to content

Most Common IV Push Meds on Med-Surg

Hi there.. I am an orientee on the med-surg floor. Just started.. What are the most commonly ordered IV push meds used on this floor for me to be well-knowledged off? .. consider dilution and compatibility, important things to remember.. I understand that I can look up a med in a drug book when necessary; however, it will really help me to start really knowing the most important ones. Thank you so much. Any IV med book that you recommend?

NurseyBaby'05, BSN, RN

Specializes in Neuro/Med-Surg/Oncology.

Proabably your IV pain and anxiety meds will be your biggies.

i.e. Morphone/Dilaudid, possibly Toradol and Ativan or Haldol

Don't forget Benadryl since everyone's "allergic" and it makes the meds "work better." ;)

Steroids.

Hydralazine or vasotec for BPs.

Protonix/Prilosec

Most floors have a chart in the med-room with drug compatabilites for a quick reference.

missnurse1

Specializes in Med/Surg, psych, 7 yrs EMT.

For me it's definetly Lasix, Toradol, and Protonix. Morphine is also very common but I think Lasix and toradol take the cake. I agree with the other post that compatability charts should be in your med room. :)

Dilaudid and Phenergan.......and be prepared to hear some patients telling you what dosage they want, how often they will want it, and telling you to "push it quickly" :rolleyes:

.....NOT that I'm advocating you take their "advice" of course :nono:

NurseyBaby'05, BSN, RN

Specializes in Neuro/Med-Surg/Oncology.

Oh, yeah.

I forgot about Zofran.

As for taking pt's "advice", you'll be the "only one" that doesn't disconnect the pt's IV tubing and inject the pain meds directly into the pt's IV/central line. Don't buy it.

jessiern, BSN, RN

Specializes in Med-Surg.

Pepcid has got to be the top of the list, followed quickly by lasix and SoluMedrol. Dem/phen combo thrown in for fun. Protonix is on the rise at our hospital. Don't forget Reglan.

st4wb3rr33sh0rtc4k3

Specializes in Tele/ICU/MedSurg/Peds/SubAcute/LTC/Alz.

Lol, I would say Nexium, Protonix, or SoluMedrol. I work night shift, so every 6am.

Morphine, Dilaudid, Reglan, are definates too.

dilaudid, dilaudid, dilaudid!!! I am a very new nurse and I can not tell you how many times I have pushed this drug! Also a good one to know is Ativan. When it is ordered IV push you have to dilute it. A lot of my preceptors asked me what I was doing when I was diluting it in normal saline. When I told them that that is what it says to do in my drug book and not to mention it even says it on the vial its self "dilute before use" They were like, "Oh, I never do that. Whoops!" Make sure you look up IVP meds to know if they have to be diluted, and how fast or slow you can push them and what IVF they are compatible with. Good lucK!

imanedrn

Specializes in ED/trauma.

dilaudid, dilaudid, dilaudid!!! I am a very new nurse and I can not tell you how many times I have pushed this drug! Also a good one to know is Ativan. When it is ordered IV push you have to dilute it. A lot of my preceptors asked me what I was doing when I was diluting it in normal saline. When I told them that that is what it says to do in my drug book and not to mention it even says it on the vial its self "dilute before use" They were like, "Oh, I never do that. Whoops!" Make sure you look up IVP meds to know if they have to be diluted, and how fast or slow you can push them and what IVF they are compatible with. Good lucK!

I dilute all my IV meds in NS, whether it's required or not. If they're a mix (like protonix or solu-medrol), I always use as much NS as I can leave in the 10ml syringe.

From a physiology standpoint, all of this stuff is poison to veins, so the more dilute the solution, the better off the vein will be. Also, if the IV if saline-locked, I make sure to flush with NS AFTER the meds, for the same reason noted above. It will save the vein and the IV site!

As a side note, when you flush saline-locks, make sure to flush BOTH ports. I've seen several ports clot off lately because other nurses only run fluids or flush 1 of the ports.

Yeah all of the ones mentioned above are the ones that I push most often. I also dilute everything and push everything slowly even if you might not have to. Nexium is one that should be pushed over 3 minutes, which is usually agonizingly long. I don't worry about compatibility mainly because I stop all IVF and flush before administering. You can always take 5 minutes to find the compatibility but I think it is just faster to disconnect everything and flush. Many of my patients have PICC lines so compatibility isn't as much of an issue as it may be on some floors.

UM Review RN, ASN, RN

Specializes in Utilization Management.

A couple of points: we don't use phenergan or demerol IV any more, and we do not dilute Dilantin IV.

Our most common IV meds are Morphine, Zofran, lasix, solumedrol, Lopressor, Protonix, Reglan, Dilaudid.

shellsgogreen

Specializes in ICU.

lasix, dilaudid (shocker:uhoh3:) and lopressor

on my floor, we keep a chart handy of all the biggies with all the necessary info, like how long it is to be pushed and if it is in our scope of practice to even push it to begin with.:uhoh21:

november17, ASN, RN

Specializes in Ortho, Case Management, blabla.

mostly diazapam, ondansetron, promethazine, ketorolac, morphine...occasionally furosamide, methylprednisolone, esomeprazole, hydromorphone (we generally give this sub-q), and meperidine (even though it sucks for pain control, there is one oldschool holdout physician/surgeon who continues to prescribe it so I still give it once in a while when I have his patients).

Achoo!, LPN

Specializes in Urgent Care.

Lasix, morphine, narcan, phenergan, benadryl. Those are the biggies.

Ditto to most of the above....

side note: the only difference I notice is on my floor is we don't give metroprolol or haldol IV as they require cardiac monitoring according to our protocol (there are a couple others, I can't think of at the moment). If it is emergent, the physician must administer the med or we take the monitor off the crash cart and hook the patient up if we choose to do it. On my unit we have a list of all IV push meds that we can give and parameters for doing so, as well as a list of those IV push meds that cannot be given (since we don't have telemetry capabilities). Your faciility will hopefully have a similar list. Sorry for the long response. Hope it helps.

Morphine, lasix and protonix. I want 10 prefilled syringes of morphine at the beginning of the day! And, they will surely be gone by noon.

IV push:

phenergan- always give with running iv fluids or given im

zophran

morphine

dilaudid

toradol

reglan

IVpiggy back

ancef

pepcid

protonix

flagyl

levaquin

vancomycin

cefapime

TigerGalLE, BSN, RN

Specializes in ICU, Med/Surg.

Morphine, solumedrol, lasix, protonix, reglan, pepcid, decadron, dilaudid, ativan, haldol, zofran, phenergan (rarely), benadryl, hydralazine.

We can't give lopressor, dig, or cardizem on the floor.

I dilute morphine, phenergan, and ativan.. push them slowly.

You also have to dilute pepcid on my floor. I give all IVPs slowly. And I monitor vitals closely for narcs and hydralazine.

Tigers

amers573

Specializes in Tele, MedSurg.

yes i would say this is very important.

Guest
This topic is now closed to further replies.
×

By using the site you agree to our Privacy, Cookies, and Terms of Service Policies.

OK