Vitamin K IV

[Sue Damones]

When administering Vitamin K IV, how fast - or slow- do you push it? Are you supposed to dilute it at all?

Thanks!

[CraigB-RN, MSN, RN]

When administering Vitamin K IV, how fast - or slow- do you push it? Are you supposed to dilute it at all?

Thanks!

Diluted into a running IV 1mg/min per Davis Drug Guide

[RN1982]

I think if its diluted in 50mls IVPB, you can run it over 15-30minutes.

[Sue Damones]

So do you usually give it IVP or run it as a piggyback in some 0.9NS? Ours comes 10mg in 1 ml.

[elizabells, BSN, RN]

Don't know if it's the same in adults, but the Neofax says it should be pushed sloooooooooowly with an MD present d/t risk of sudden cardiac arrest. We almost always give it IM, though, even when the indication would suggest IV administration. I think it's because the docs don't want to have to come hang out while we give it.

[barefootlady, ADN, RN]

Give IV meds slowly so as not to tax heart.

[Sue Damones]

Give IV meds slowly so as not to tax heart.

I have given many IVP meds; I am specifically asking about Vitamin K IV, and the reasoning behind it. I think I'll ask the pharmacist tomorrow.

[nrsang97, BSN, RN]

Pharmacy always sends it up into a IVPB or us. We give it over 30 minutes.

[ICRN2008, BSN, RN]

Pharmacy and MDs gave us the okay to give it IVP over 5 minutes. According to the heme docs at my old hospital, the incidence of complications was low. However, the warnings in the drug guides were enough to give me pause and make sure that an MD was on the floor when I gave it.

[chenoaspirit, ASN, RN]

I watched a nurse give it IVP VERY slowly, the patient ended up in ICU. I wont give it IV, I just wont risk it. When I get such an order, I request it IM.

[CraigB-RN, MSN, RN]

I watched a nurse give it IVP VERY slowly, the patient ended up in ICU. I wont give it IV, I just wont risk it. When I get such an order, I request it IM.

Exactly why did the patient end up in the ICU? Half my patient population goes to the ICU after I give them some sort of IV Medication.

In all this the question that is being missed is if the Vit K is the appropriate reversal. Depending on why were are reversing, FFP (Fresh Frozen Plasma) may be the best choice.

As to beeing leary about giving somthing. I"ve had patient's BP bottom out after giving SL nitro. I've had patients go into asystole after adenocard, ive's had patient have an anaphylactic reaction to mucamyst that I was using to treat the out of this worls tylenol level. Do I still give those medication, you bet I do. But I have a health RESPECT for all medications. One of my early instructors tough me not to think of them as medications but as poisons, and treat them all approptiatly.

[NRSKarenRN, BSN, RN]

vitamin k-1

routes of administration

• sc
  
• im
  
• iv direct
  • emergencies only; dilute with 10 ml of ns;
    
  • rate: 1 mg or fraction thereof over at least 1 minute

  [*]iv intermittent

  • in 50-100 ml over 30-60 minutes

  [*]iv infusion

rxmed: pharmaceutical information - vitamin k

[color=#0000cc]guidelines for the administration of vitamin k- uk pharmacy services

[color=#0000cc]route of vitamin k administration for elevated inrs in the acute ...

http://www.medscape.com/viewarticle/418081_4