Question

Nurse is preparing to mix and administer dantrolene via IV bolus to pt who had developed MH during surgery. Which of following actions should nurse take?

Answer 1

To administer dantrolene via IV bolus for a patient with malignant hyperthermia, the nurse should use a sterile technique to dilute the correct amount of stock solution into an IV bag, mix gently, and review the medication's safety before administration, in conjunction with the surgeon and anesthesia professional.

Step-by-step explanation:

The question above pertains to the administration of dantrolene via IV bolus to a patient experiencing malignant hyperthermia (MH) during surgery. When preparing to mix and administer this medication, here are the steps that the nurse should follow:

1. First, the nurse should review the physician's order to ensure the correct dosage and dilution are to be administered.
2. It's essential to use the appropriate sterile technique to avoid contamination. Usually, this includes hand hygiene, using sterile gloves, and ensuring a clean work surface.
3. Obtain the correct IV bag of sterile solution prescribed by the physician.
4. Then, access a highly concentrated, sterile stock solution of the medication. In this case, dantrolene.
5. Use a syringe to draw up the precise amount of dantrolene required to create the correct concentration when it is injected into the IV bag.
6. After adding the stock solution to the IV bag, gently mix the solution.
7. Last, the nurse should check the solution for any particulates or discoloration, confirming it is safe for injection.
8. The surgeon, nurse, and anesthesia professional should review key concerns for the recovery and care of the patient before the medication is administered.

By following these steps, the nurse ensures that the IV bolus is prepared correctly and can be administered safely to the patient.