IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Blood simultaneously with other meds in the same IV

    IVRUS replied to Vicki_RN's topic in Infusion, Intravenous

    It is NOT appropriate to hang blood with anything except NSS. No other antibiotics, nor a different type of IV Fluid beside saline should be hung. For proof, Check out the AABB website....
  2. IVRUS

    IV tubing terminology

    IVRUS replied to HamsterRN's topic in General Nursing

    But, What about that pt who is on Fluid Restriction, or that RF pt, who is on strict Intake and output? Sometimes, Antibiotics are hung alone, and though 15 mls may be left in the tubing, How much...
  3. IVRUS

    Infection control problems using single use vials?

    IVRUS replied to greenterra's topic in Patient Safety Issues

    It really depends on the manufacturer. We use the 10cc PF saline vials and occasionally the 30cc multi-dose vials. They are not just dust covers, but are sterile underneath the cap. Now if the cap...
  4. IVRUS

    IV tubing terminology

    IVRUS replied to HamsterRN's topic in General Nursing

    An example of a Primary Intermittent Set is one where you have primary tubing attached to an IVAB like Ancef and you are giving that Ancef q 8hrs. Without a mainline (500cc-1000cc) of IVF, all you...
  5. IVRUS

    What is the main difference between LPN and RN

    IVRUS replied to dayzee1975's topic in General Nursing

    Ahh, Not true!! In Missouri, a LPN can't administer Chemotherapy, can't admix medications, can't place or d/c any IV catheter over 3 inches in length, can't access or deaccess an implanted port. An...
  6. IVRUS

    Ahh! Huge mistake

    IVRUS replied to Mattsgrl83's topic in General Nursing

    As a previous poster said, many of your elastomeric devices (like the one you described) come pre-primed (and your pharmacy should label it as such) But, it is also extremely difficult to ascertain...
  7. IVRUS

    IV medication filtering

    IVRUS replied to gtmoore's topic in General Nursing

    Just because one has never seen it done that way, doesn't mean that it shouldn't occur! Our pharmacy filters Lipids ALL THE TIME! Whether they are in a 3-in-one, or by themselves. If you'd like to...
  8. IVRUS

    Flushing a Port-a-Cath--to waste or not to waste?

    IVRUS replied to bruinrn's topic in General Nursing

    Regarding HIT, HIT is an antibody-mediated reaction which occurs after anti-platelet antibodies are created from a previous exposure to heparin. HIT is NOT dose-dependant - that means that one does...
  9. IVRUS

    IV medication filtering

    IVRUS replied to gtmoore's topic in General Nursing

    "The lipids, however, should not be filtered." Lipids need filtering! When giving a 3-1 TPN (one that contains the three main ingredients of TPN - Dextrose, Amino acids and Lipids) a 1.2 micron...
  10. IVRUS

    A&P experts please help...

    IVRUS replied to Skwidward's topic in General Nursing

    For example, with a blood vessel there are several layers. The inner most layer is the medial. I am not sure if this applies to the toes in the sense that "inner" would be considered the area where...
  11. IVRUS

    wrong route phenergan?

    IVRUS replied to cybernurse614's topic in Patient Medications

    Most issues with lawsuits involving IVP phenergan occur with short term peripheral IV catheters (less than 3 inches in length). Phenergan is a vesicant, but if you have a patent central line, there is...
  12. IVRUS

    PCA pumps

    IVRUS replied to Mbshil's topic in General Nursing

    This really depends on whether your patient is receiving a "basal" rate and "bolus" capabilities, or just a basal, or just bolus! A basal rate for a PCA will deliver a steady, consistant flow rate to...
  13. IVRUS

    simple math problem

    IVRUS replied to 0610wrap's topic in LPN to RN

    Well, It is truly wonderful if you have MD's who would tolerate a phone call to them requesting that type of
  14. IVRUS

    simple math problem

    IVRUS replied to 0610wrap's topic in LPN to RN

    The MD will NEVER give you a rate of administration for Ancef, or most other medications... He or she will only give you the drug, drug amt and how often it needs to be administered. It is your...
  15. IVRUS

    simple math problem

    IVRUS replied to 0610wrap's topic in LPN to RN

    Your information can be obtained by looking in a drug book... Isn't that a reference all should be using with queries such as
  16. IVRUS

    simple math problem

    IVRUS replied to 0610wrap's topic in LPN to RN

    Since 1 gm equals 1000 mg, and your question is how many mg per 1 ml, you need to divide 1000 by 10 which will give you 100mg/ml. If using a syringe pump, this is given over 3-5 minutes into a large...
  17. IVRUS

    need an iv answer please

    IVRUS replied to sweet sunshine's topic in General Nursing

    While Be Moore is correct in saying that the measurements were probably "undershot", Infusion Nurses Society Standards (INS) state that the tip should be in the distal SVC or at the Caval-Atrial...
  18. IVRUS

    tape

    IVRUS replied to accessqueen's topic in Infusion, Intravenous

    Here's what I teach my students to do: Once the IV start kit has been opened, the top of that package (the one with the writing on it regarding the kit itself) is layed with the wording down onto your...
  19. IVRUS

    Midline IV

    IVRUS replied to 1Grateful1's topic in General Nursing

    Angie O'Plasty, Vancomycin can be given through a Midline, but it isn't the wisest thing to do. As I mentioned in a previous post, given the damage that this vesicant can do to the smooth, Tunica...
  20. IVRUS

    Midline IV

    IVRUS replied to 1Grateful1's topic in General Nursing

    Whoa... Let me clarify things! A MIDLINE OR A PICC CAN INFILTRATE! Any VAD can! Whether the precipitating events include a mechanical force which displaces the device, or an obstruction of blood flow...
  21. IVRUS

    Midline IV

    IVRUS replied to 1Grateful1's topic in General Nursing

    Infusion Nurses Society (INS) recommends that the dwell time for Midlines be 2-4 weeks.. I would never leave one in for 6 months. Yes, they are just a long peripheral (> 3 inches, but less than 8...
  22. IVRUS

    starting IV "blind stick"

    IVRUS replied to chenoaspirit's topic in General Nursing

    Well, I'm glad that you were able to successfully cannulate her vessel, BUT, Blind sticks are a big NO-NO. One of the number 1 reasons nurses are being sued these days is for nerve damage. If you...
  23. IVRUS

    Brain farts

    IVRUS replied to linda2097's topic in General Nursing

    I understand that this has been a mistake that many, including MD's, make but it isn't a mistake that should be repeated. The concern that clinician's have as to placing the appropriate size of...
  24. IVRUS

    Why do you give IV nexium and protonix slow?!

    IVRUS replied to Craychek's topic in General Nursing

    Every medication has a certain amount of mg or micrograms to be given over a certain time frame and one should follow those time frames namely to prevent SPEED SHOCK. If a medication is given faster...
  25. IVRUS

    Simulating arm veins for practice IV's

    IVRUS replied to linda2097's topic in General Nursing

    sorry mary, other than the medical supply places like, www.enasco.com , i don't have an answer for you. i too like the ones that look like real hands/arms, but they are so costly. the ones from...