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Discussion

Pediatric Nursing

I'm currently a student trying to obtain my bachelor degree to be a registered nurse. We are currently on the pediatric floor and I have to give IV meds in front of my instructor tomorrow. I have a 1 yr. 7 mnth. old male who weighs 9.3 kg and the orders are 1 mg metoclopramide and 1 mg odansetron.

Are these meds IV push or a continuous infusion? Do they have specific time amount they need to be given over?

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    Hello and welcome to the site. I moved your post to Nursing Student Assistance where I think you will get more helpful responses. You can find this forum if you click on STUDENTS in the gold toolbar at the top of the page.

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    In out PICU, and on our general peds floor, we use smart pumps to give most every IV med. However, these meds (zofran and reglan)

    should go over at least 5 minutes. I'd ask about the availability of a smart pump.

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    I just finished my pediatric rotation. I gave antibiotics through a syringe pump to a newborn and through a secondary IV bag with a pump to a 9month old. As far as I know, all IV meds and fluids must be given through a pump as fluid balance is super important in Peds.

    I would check the parenteral drug guide to see whether or not these meds are even safe to give IV push and how long they must be administered over. If that doesnt help, clarify with pharmacy or the physician to see what is safe.

    Good luck! :)

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    They are neither IVP nor continous infusion. Both meds are antiemetics. I have always given both over 15 minutes. While it's not true that ALL IV meds have to go on a pump in pediatrics (I pushed things such as toradol, ativan, vincristine and morphine all the time working inpatient and I push methotrexate regularly now as a home care nurse), these specific meds usually do... but not because of fluid balance issues. In my hospital, 1 mg of IV Zofran came prepared from the pharmacy in something like 1.56 mL... what kind of fluid balance problems could that cause? For a baby who weighs nearly 10 kg, that volume is not a problem.

    Do you know the basics of these meds? Why is the patient on them? Are the doses safe for his weight? What specifically should you monitor with? Especially with the reglan...

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