Question

The nurse is administering an IV push medication to a patient who has a compatible IV fluid running through intravenous tubing. Place the following steps in the appropriate order.

1.Release tubing and inject medication within the amount of time recommended by agency policy, pharmacist, or medication reference manual.
2.Select the injection port of IV tubing closest to the patient. Whenever possible, the injection port should accept a needleless syringe. Use IV filter if required by medication reference or agency policy.
3.After injecting medication, release the tubing, withdraw the syringe, and recheck the fluid infusion rate.
4.Connect the syringe to the port of IV line. Insert needleless tip or small-gauge needle of a syringe containing the prepared drug through the center of the injection port.
5.Clean injection port with an antiseptic swab. Allow to dry.
6.Occlude IV line by pinching tubing just above the injection port. Pull back gently on the syringe plunger to aspirate blood return."

Answer 1

When administering an IV push medication with compatible IV fluid running through intravenous tubing, the nurse should follow these steps: clean the injection port, select the injection port closest to the patient, connect the syringe to the port, occlude the IV line, release the tubing and inject the medication, and finally, withdraw the syringe and recheck the fluid infusion rate.

Step-by-step explanation:

1. Clean injection port with an antiseptic swab. Allow it to dry.
2. Select the injection port of IV tubing closest to the patient. Whenever possible, the injection port should accept a needleless syringe. Use IV filter if required by medication reference or agency policy.
3. Connect the syringe to the port of IV line. Insert a needleless tip or small-gauge needle of a syringe containing the prepared drug through the center of the injection port.
4. Occlude IV line by pinching tubing just above the injection port. Pull back gently on the syringe plunger to aspirate blood return.
5. Release tubing and inject medication within the amount of time recommended by agency policy, pharmacist, or medication reference manual.
6. After injecting medication, release the tubing, withdraw the syringe, and recheck the fluid infusion rate.

Answer 2

Clean injection port, connect syringe, occlude IV line, release tubing, inject medication, and select the injection port in this order for safe IV push medication administration.

Step-by-step explanation:

The administration of IV push medication is a critical nursing task that requires precision to ensure patient safety. Initiate the process by cleaning the injection port with an antiseptic swab, allowing it to dry thoroughly. This step is vital to prevent contamination during the medication administration. Following this, connect the syringe to the IV line port, ensuring the needleless tip or small-gauge needle is inserted through the center of the injection port. Occlude the IV line by gently pinching the tubing just above the injection port, then pull back on the syringe plunger to aspirate blood return. This ensures proper needle placement and verifies vascular access.

Subsequently, release the tubing and administer the medication within the specified time frame as per agency policy, pharmacist instructions, or the medication reference manual. After injecting the medication, release the tubing, withdraw the syringe, and recheck the fluid infusion rate to guarantee the proper flow of IV fluids. Finally, select the injection port of the IV tubing closest to the patient, with preference given to ports accepting needleless syringes. If necessary, employ an IV filter according to medication reference or agency policy. This systematic approach ensures the safe and effective administration of IV push medication, prioritizing patient well-being and adhering to established healthcare protocols.