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Med Admin - Coggle Diagram
Med Admin
IV
Bolus/push
IV Bolus
IV push
3-5 minutes
Intermittent IV bolus
primary line lower than piggyback
Bolus
Secondary/piggyback
Continuous
Documentation
Appearance of IV site before, during, after
Amount and type of fluid med is added to
Electric pump vs gravity
period of time during which the medication is infused
flow rate
amount and type of fluid for flushing the iv line
3 Checks
As you remove med
As you prepare
At bedside
CVAD (Central Venous Access Devices)
Uses
Frequent blood samples
IV vasoactive meds
TPN
Hypovolemia or hypervolemia
Long term infusion of meds
Large volume or recurrent blood transfusions
Types
PICC (Peripherally-inserted central catheters)
Major vein that goes into heart
Long-term
Weekly dressing changes
Daily flush and assessment
Chest x-ray needed (tip must be lower superior vena cava)
Clean with antiseptic
Aspirate line for blood. return
Push-pause motion
Don't use a syringe less than 10 mL
Implantable Venous Access Device/port
Surgical implant
Clean with approved antiseptic
Assess port for patency and infiltration every 4 hours
Lumen
2
3
4
10 Rights of Medication Administration
DRTIMECARD
flow rate
Vloume (mL0/time(min) x drop factor (gtt/mL)
IV compatibility
Flush before and after with at least 10 mL