PrettyPeachyRN

OK so, I feel like the "What's heavier a kilogram of steel or a kilogram of feathers" guy right now. At clinical, we were ordered to give 40mg of Protonix IV in 10mL. When I looked up the push rate in Lexicomp, it says to push 4mg/mL over 2 minutes. I thought, "Surely we're not pushing this over 20 minutes??" My instructor told us no, the entire 10mL will be pushed over 2 minutes. I'm not understanding the logic of this. I know 40mg/10mL reduces down to 4mg/mL, but since we are giving 10x the amount listed for the push rate, why wouldn't the push rate itself be multiplied by 10? WellRx seems to agree with my instructor, and this is what it says: "-Slow IV push administration has been used for adult patients. -Dilute each 40 mg vial with 10 mL 0.9% Sodium Chloride Injection. Each vial will have a final concentration of 4 mg/mL. -Infuse slowly over at least 2 minutes. Do not give by fast IV push." I know the explanation is probably super simple and I'm going to kick myself over it, but can someone please explain this to me like I'm 5?

Yes, I'm starting to get an inkling of this, unfortunately. Thanks for the clarification.

I'm in my last semester of an ADN program, and I'm too afraid to ask my instructors because it's probably something I should already know. I realize looking at patient charts is a violation if they aren't assigned to you, but what if they're on the unit you work on? I've noticed my clinical instructors are constantly looking through patient charts, which obviously makes sense because they need to know which patients can be safely placed with students. However, what if you're working on your unit and you have to look up information for a patient that isn't yours? For example, what if the assigned nurse is not available and you need to see if a patient has any precautions not readily apparent? Maybe the patient needs help that cannot be postponed until the nurse comes back, but certain relevant interventions may be contraindicated? I'm not asking to look at their charts out of curiosity (I wouldn't risk my license over that), but out of safety for me and/or the patient.