Question about IV push meds

[sn0594]

I'm a student studying for an IV exam I have coming up and I have this question..

According to my instructors notes which I am typing verbatim you may never administer IV push meds when a continuous medication infusion or TPN is running (even if compatible or addressing incompatibility). Also, continuous infusions of meds should never be d/c. So my question is, what do you do if there is a continuous med infusion running in the only avail line and a stat IV push med is ordered?

[Virgo_RN, BSN, RN]

...and don't tell the patient you haven't done very many. Attack it with confidence! Even seasoned nurses don't always get it on the first try.

Actually, that's one of my favorite jokes. After I get one in on someone who tells me they are a hard stick, I like to say "Not bad for my first time!"

[blondy2061h, MSN, RN]

Actually, that's one of my favorite jokes. After I get one in on someone who tells me they are a hard stick, I like to say "Not bad for my first time!"

I'm young and look even younger than I am. Occasionally I'll have patients say, "Shouldn't your teacher be here before you do this..." I like to say something like, "Nah, she's long since given up on me."

[ICURNGUY]

Depends on the cont. infusion. If it something that can't be stopped.....pressor....see if your stat IVP can be IM, ETT, or IO. Start another line, but don't ever flush something that is potent. A pressor flushed can cause serious probs you don't even want to go there. Then when you restart that infusion after a flush there will be nothing in the line for a while and you will have a serious rebound.......be safe, and THINK!

[JulieCVICURN, BSN, RN]

That seems strange to me cause when i was in school, they had us start every possible IV that came around. I had quite a few under my belt by graduation.

Strange but true. I'm not saying that they'd refuse it if an opportunity presented, but it so rarely did that only maybe 5 of my classmates (out of 95) ever got a chance to try it.

ETA: Before I start one, I usually say "Hail Mary, full of grace, put the needle in the right place." The patients seem to enjoy it. Or at least, they humor me by pretending I'm amusing.