Ideally, you should NOT be infusing any more than 30 cc in that first 15 minute period. The first 15 minutes is the time frame when the most deadly consequences to the administration of a blood...
Personally, I would see if the pump that I was using on him had locking capabilities which would lock him out and prevent him from turning the pump off, decreasing the rate etc. Also, when you were...
"I'm sure it's pharmacologically OK to run anything with .9, if the Pts medical condition warrants it (no CHF)." Coleeliza, Actually this quote is not correct. Some medications are incompatible...
Every clinic, every facility, every hospital which serves patients must have policies and procedures in place, if for no other reason, liability issues, not to mention if the place receives any type...
All medication that I know of, except Adenosine, must be given over certain time frames to prevent Speed Shock. If you aren't sure what the time frame is, call your infusion pharmacist, or check your...
I truly believe that you want to have in place a crash cart, at the very least given the acuity that you are seeing in some of your patients. If you are there providing first dosing, much less...
I truly think you answered your own question! Have you heard the old adage... "Do something that you love and then you'll never work a day in your life?" well, If I love the small hospital, the...
Also remember that EVEN if it does occlude, Cathflo will usually lyse the fibrin/clot and restore patency. This however, does not negate the responsibility of your employer to have assessed your...
My question to you is: Why are you wanting to run them at the same time anyway? Can't you run one over 30-60 minutes, flush with saline or D5W (If the IVAB isn't compatible with NS) and then hang the...
Remember oncotic pressure is needed to "pull" the fluid back into intravascular space once it crosses into the tissues and cells. Proteins will become concentrated in the blood vessel once the fluid...
Agree KelRN, Standards say to always use the lowest amount of Heparin Flush solution in a catheter, except, as you said in implanted ports, then 100 units/ml is used. But, some organizations do not...
VIA ISMP (Institute for safe medication practices) states: Improper administration technique Most nurses rely primarily on their own experience and that of coworkers for information regarding the...
It I not unusual for a newly placed central line to ooze blood from the site during the first 24 hours after placement. Now, if you are needing to change the dressing covering the site every two to...
Sorry, but this is just not true. A catheter placed in the jugular vein is ONLY a central line if its tip terminates in the superior vena cava (SVC) !! A 3 inch 18 gauge IV catheter is a peripheral...
Yes, you have a problem here! My first question would be, "When was the pacer placed, and the defib placed?" Now, you say the pacer was old and non-functioning, "Why, oh why haven't they pulled it?"...
Has your instructor said that you've been performing inadequately? If not, then why are you beating yourself up? I believe you have to ask yourself, "Why did I go into nursing?" If it was to help...
Performed PICC dressing change per policy. Writing per policy, or Per protocol, can be problematic. Whose protocol did you follow? Was it the employing institution's protocol, or perhaps a...
Will this position be in a Hospital, or Home Health? In Home Health, or Home Infusion, I would first ask what type of orientation would you be given? Home Infusion requires you to work with such...
I believe that when you are talking about surgery to remove a body part, or surgery to fix an ailment and the MD is the one doing the procedure, then yes, the MD should be the only one explaining and...
Obtaining your CRNI, will be a huge help as it gives you the credibility you need to be able to speak the language as an Infusion Expert. Now, are there some nurses out there who are incredibly...
My question to you is this: Once you removed the IV that was infusing into the line, was the lumen clamped off prior to removing the tubing? And once the needleless connector was applied, didn't you...
Well, if the IV catheter is NOT flushed at intervals, you will see a lot of catheters which become clotted... And I'm sure that since you don't have NSS, you probably will find it harder still to get...