Chapter 16 IV Flow Rates. Name three reasons why you think a person may need fluid replacement, IV fluids.

Size: px
Start display at page:

Download "Chapter 16 IV Flow Rates. Name three reasons why you think a person may need fluid replacement, IV fluids."

Transcription

1 Chapter 16 IV Flow Rates Name three reasons why you think a person may need fluid replacement, IV fluids. NPO Dehydration Deliver medication Nutrition Deliver blood products 1 Chapter 16 Intravenous Flow Rates 2 1

2 Objectives Calculating drops per minute (gtt/min) when given the total volume and time over which an IV solution or intravenous piggyback is to be infused Calculating milliliters per hour (ml/h) when given the total volume and time over which an IV solution or intravenous piggyback is to be infused 3 Purpose of IV Drug Infusion Intravenous (IV) infusion is a medical term that describes the way certain kinds of medicines or other substances are delivered to the body. While many medicines or things like fluids can be taken orally, sometimes this is not an option due to time concerns or the need to bypass the gut and get medicines or other treatments directly into the veins. 4 2

3 Purpose of IV Drug Infusion In these circumstances doctors and/or nurses can establish a small IV goes directly into a vein, and they use this line for drug or other substance delivery. Many medications are delivered in this manner at hospital settings, at certain treatment centers, and sometimes at home. 5 What is infused? Medications and electrolyte milliequivalents IV fluids available in a variety of volumes and solutions 5% D 5 WDextrose and normal saline are used often 6 3

4 Venipuncture and IV Lines 7 Saline and Heparin Locks Reduce the number of patient venipunctures Allow patient greater mobility when fluid not being infused Can be flushed with normal saline solution or heparin flush solution 8 4

5 Central Venous Catheters Required for patients who need (cont d): Chemotherapy Intermittent blood transfusions Antibiotics 9 Central Venous Catheters Required for patients who need: Frequent venipuncture Long-term IV infusions Hyperalimentation (TPN) 10 5

6 Intravenous Infusion Set Includes: Sealed bottle or bag Tubing Drip chamber connected by small tube or spike Tubing leading from drip chamber to needle or catheter Clamp to adjust flow rate IV insertion 11 Intravenous Infusion Set FIGURE 16-3 Intravenous infusion sets. (Modified from Clayton BD, Stock YN, Cooper S: Basic pharmacology for nurses, ed 15, St Louis, 2010.) 12 6

7 Intravenous Infusion Set (cont d) Types of infusion sets (based on drop factor) Microdrip sets Macrodrip sets Microdrip vs. macrodrip 13 Infusion of IV Piggybacks by Gravity Piggyback infusion by gravity FIGURE 16-6 Gravity-flow IVPB. The IVP is elevated above the existing IV solution, allowing it to infuse by gravity. (In Lilley LL, Collins SR, Harrington S, Snyder JS: Pharmacology and the nursing process, ed 6, 2011, Mosby. From Rick Brady, Riva, MD.) 14 7

8 Adjusting Flow Rates FIGURE 16-5 Count drops per minute by watching the drip chamber for 1 minute and adjusting the roller clamp as needed to deliver the desired number of drops per minute. (From Potter PA, Perry AG, Stockert PA, Hall A: Basic nursing, ed 7, St Louis, 2011, Mosby..) 15 Regulating IV Flow Rates Regulation is the responsibility of the nurse. Irregular rates lead to complications. Sometimes the rate must be adjusted. 16 8

9 Gravity Infusion Calculation Formula Page 351 V T C R V= volume to be infused T= Time in minutes C= Constant or drop factor 17 IV Administration of Fluids by Gravity Normal Saline 650 ml is ordered to be infused over 3.5 hours. The drop factor is 20 gtt/ml. How many drops per minute should be administered to infuse 650 ml of Hespan over 3.5 hours? 650mL x20gtt / ml 62gtts / min 210 min 18 9

10 IV Infusion by gravity Administer 1000mL of 0.9% NS over 2 hours. You have tubing that delivers 10gtt/min. How many drops per minute will deliver this fluid as ordered? Avelox 400mg daily IVPB is ordered for your patient with a bone infection. The Avelox is to be infused over 60 minutes and is available in 400mg/250mL. The tubing drop factor is 10gtt/mL. How many gtts per minute will be given? 250mL x10gtts / ml 42gtts / min 60 min 19 Infusion of IV Piggybacks by Gravity (cont d) The physician orders gentamicin 50 mg in 80 ml D 5 W to be infused over 45 minutes. The tubing drop factor is 60 gtt/ml. How many drops per minute should be administered to infuse the gentamicin over 45 minutes? 80mL x60gtt / ml 107gtt 45min / min 20 10

11 Question Your patient has oliguria (scanty urine production) and receives an order for 1000mL of 0.9% NS over 3 hours. The tubing drop factor is 10gtt/mL. How many drops per minute should be given? 56gtt/min 21 IV Pump Infusion Formula Total volume in milliliters Total time in hours x ml h 22 11

12 Infusion of IV Fluids with an IV Pump IV pump 23 IV Infusion with a pump Administer 1.5 g of vancomycin over 90 minutes. The vancomycin is dissolved in 200 ml of D 5 W. How many milliliters per hour should the IV pump be programmed to deliver? 200mL 133mL / hr 1.5hours 24 12

13 Infusion of medications with a IV pump. Sometimes you will be required to infuse medications using an IV pump. You will need to calculate the rate, in ml per hour based on the amount of medication needed. Dilute potassium 40mEq in 250mL of D5W and administer now. Orders state to infuse the potassium at a rate of 10mEq/h. How many milliliters per hour should the pump be programmed for? 40mEq : 250mL :: 10mEq : xml x = 63mL 25 Infusion of medications with a pump An order for Narcan 0.4mg/h is written. Given a bag with a concentration of 8mg in 100mL of normal saline, how man milliliters per hour should the pump be programmed for? 8mg : 100mL :: 0.4mg : xml x= 5mL/hr 26 13

14 Question A patient with poor wound healing has ascorbic acid 300mg in 200mL of 0.9% NS ordered to be infused over 6 hours. How many milliliters per hour should the pump be programmed for? 200mL 33ml / hr 6hrs 27 Questions The patient has Ferrlecit 125 mg ordered once daily. The Ferrlecit is available in 100 ml of NS and should infuse over 60 minutes. Using an IV pump, how many milliliters per hour should the Ferrlecit be infused? 100 ml/h A patient on a ventilator has an order for a continuous Ativan drip at 3 mg/h. The Ativan concentration is 0.2 mg/ml. Using an IV controller, how many milliliters per hour should the Ativan infuse? ANS: 15 ml/h 28 14

15 Patient-Controlled Analgesia IV narcotics can cause: Depressed respirations Hypotension Sedation Dizziness Nausea or vomiting 29 Patient-Controlled Analgesia (cont d) Requirements for PCA: Patient must not be allergic to narcotic. Patient must be able to understand and comply with instructions. Patient must have a desire to use PCA. PCA during childbirth 30 15

Intravenous Fluid and Drug Therapy

Intravenous Fluid and Drug Therapy 11 Intravenous Fluid and Drug Therapy OUTLINE Overview Direct Intravenous Injections Continuous Intravenous Injections Solution Additives Calculating IV Components as Percentages Calculating IV Flow Rates

More information

Chapter 64 Administration of Injectable Medications

Chapter 64 Administration of Injectable Medications Chapter 64 Administration of Injectable Medications Injectable Medications Injection or intravenous (IV) infusion More invasive than administration by mouth, rectum, or through the skin Common methods

More information

Nonparenteral medications

Nonparenteral medications Nonparenteral medications Capsules and unscored tablets are rounded to the nearest whole tablet. Scored tablets are rounded to the nearest 1/2 tablet. Liquid medications are rounded to one decimal place

More information

Dosage and Calculation

Dosage and Calculation Dosage and Calculation Module for Common & Complex: Medical-Surgical Nursing TABLE OF CONTENTS: PAGE I. Abbreviation 2 II. Systems of Measurement 4 III. Methods of Calculations: Dimensional Analysis 8

More information

Module 11 FINAL EXAMINATION

Module 11 FINAL EXAMINATION Module 11 FINAL EXAMINATION MULTIPLE CHOICE Select the one best answer 1. The type of IV fluid appropriate for the patient with ketosis is a. electrolyte solution b. nutrient solution c. blood volume expander

More information

LESSON 14 Medication Math

LESSON 14 Medication Math LESSON 14 Medication Math What is Med Math? (Drug/Dosage Calculations) Nurses must perform dosage calculations when administering medications and intravenous fluids. Pharmacology math requires the nurse

More information

48 th Annual Meeting. A Review of Pharmacy Calculations for Pharmacy Technicians. Metric System of Measurement. Disclosure. Common Conversions

48 th Annual Meeting. A Review of Pharmacy Calculations for Pharmacy Technicians. Metric System of Measurement. Disclosure. Common Conversions 48 th Annual Meeting A Review of Pharmacy Calculations for Pharmacy Technicians Nina Pavuluri, Ph.D. Navigating the Oceans of Opportunity Metric System of Measurement Base Unit Factor Name Symbol 1 (g,

More information

Nursing Division. PN Dosage Proficiency Exam Study Guide. Effective Fall 2010

Nursing Division. PN Dosage Proficiency Exam Study Guide. Effective Fall 2010 Nursing Division PN Dosage Proficiency Exam Study Guide Effective Fall 2010 Page 2 PN Dosage Proficiency Exam (DPE) Study Guide Description This study guide is for Practical Nursing (PN) and Associate

More information

Cox College Springfield, MO. Dosage Calculation Competency Level II Practice Sheet STUDENT NAME: DATE: STUDENT I.D. #: ADVISOR:

Cox College Springfield, MO. Dosage Calculation Competency Level II Practice Sheet STUDENT NAME: DATE: STUDENT I.D. #: ADVISOR: Cox College Springfield, MO Dosage Calculation Competency Level II Practice Sheet Updated 4/2015 STUDENT NAME: DATE: / / STUDENT I.D. #: ADVISOR: A 95% must be achieved on the competency exam to progress

More information

DONATION AFTER CARDIAC DEATH PLAN

DONATION AFTER CARDIAC DEATH PLAN DONATION AFTER CARDIAC DEATH PLAN Diagnosis Weight Allergies Patient Care Core Body Temperature Monitoring Maintain body temp 96-99 degrees Farenheit. Utilize Hyper/Hypothermia blanket prn Insert Gastric

More information

Within the proportion the two outside numbers are referred to as the extremes. The two inside numbers are referred to as the means.

Within the proportion the two outside numbers are referred to as the extremes. The two inside numbers are referred to as the means. Basic Formulas Speaker: Jana Ogden This lecture will demonstrate the expectations for performing a variety of the more complex calculations. You are expected to refer to your text and complete the designated

More information

Math for Meds. College of Southern Nevada. Practice Problems. Nursing 211

Math for Meds. College of Southern Nevada. Practice Problems. Nursing 211 Math for Meds College of Southern Nevada Nursing 211 Name: Date: Directions: 1. Solve the dosage calculation problems utilizing the method of your choice. 2. Show your work! 3.Divide math out to the thousandth

More information

ADVANCED ASSESSMENT Medical Math

ADVANCED ASSESSMENT Medical Math ONTARIO BASE HOSPITAL GROUP ADVANCED ASSESSMENT Medical Math 2007 Ontario Base Hospital Group ADVANCED ASSESSMENT Medical Math AUTHOR Tim Dodd AEMCA, ACP Hamilton Base Hospital REVIEWERS/CONTRIBUTORS Rob

More information

IR Central Venous Access [ ] Pre Procedure

IR Central Venous Access [ ] Pre Procedure IR Central Venous Access [1050200001] Pre Procedure Case Request/Scheduling Procedure Enter IR Case Request if not already completed (All hospitals except Grant Medical Center) [ ] Case Request IR Lab

More information

SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE

SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: INTERMITTENT FLUID AND MEDICATION THERAPY Nursing DATE: REVIEWED: PAGES: RESPONSIBILITY: RN, LPN I, LPN II Per Job Description 03/81 8/09

More information

Dosage and Calculation

Dosage and Calculation Dosage and Calculation Module for Complex Medical-Surgical Nursing TABLE OF CONTENTS: PAGE I. Abbreviation 2 II. Systems of Measurement 4 III. Methods of Calculations: Dimensional Analysis 8 IV. Reconstitution

More information

LPN 8 Hour Didactic IV Education

LPN 8 Hour Didactic IV Education LPN 8 Hour Didactic IV Education Peripheral Intravenous Therapy By Pamela Truscott, MSN, Nurse Educator, RN Peripheral Vascular System Health assessment and physical examination Adequacy of blood flow

More information

Pharmacology Drug Dosage Calculations

Pharmacology Drug Dosage Calculations Pharmacology Drug Dosage Calculations Overview Abbreviations Metric Conversions Desired Dose Concentrations Drip Rates Medications (Dopamine and Lidocaine) Abbreviations cc- cubic centimeter DD- Desired

More information

Chapter 11. Preparing and Handling Sterile Products and Hazardous Drugs. Paradigm Publishing, Inc. 1

Chapter 11. Preparing and Handling Sterile Products and Hazardous Drugs. Paradigm Publishing, Inc. 1 Chapter 11 Preparing and Handling Sterile Products and Hazardous Drugs Paradigm Publishing, Inc. 1 Preparing Intravenous Products IV route of administration can be used to Reach therapeutic drug serum

More information

Cardiac Catheter Labs Intravenous Drug Therapy Guide

Cardiac Catheter Labs Intravenous Drug Therapy Guide Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Cardiac Catheter Lab IV Medicines Guideline Helen Buxton ( Senior Cath Lab

More information

Review calculation procedures for the following:

Review calculation procedures for the following: Review calculation procedures for the following: Convert in the Metric System 1000 mg = 1 gram 1000 ml = 1 liter To convert from grams to mg, move the decimal point 3 places to the right (add zeros to

More information

IV Fluids. Nursing B23. Objectives. Serum Osmolality

IV Fluids. Nursing B23. Objectives. Serum Osmolality IV Fluids Nursing B23 Objectives Discuss the purpose of IV Discuss nursing interventions in IV therapy Identify complications of IV therapy Differentiate between peripheral line, central line, and PICC

More information

Chapter 5. Learning Objectives. Learning Objectives 9/11/2012. Intravenous Fluids and Administration

Chapter 5. Learning Objectives. Learning Objectives 9/11/2012. Intravenous Fluids and Administration Chapter 5 Intravenous Fluids and Administration Learning Objectives Define total body water (TBW) and its two main compartments (intracellular fluid and extracellular fluid) Define osmosis and explain

More information

Zzbeacon,Zayna [MR ]

Zzbeacon,Zayna [MR ] AALL1131 INTERIM MAINTENANCE, HR-ALL, ARM B, HD MTX Properties Cycle 1 9/27/2012 through 11/28/2012 (63 days), Planned Day 1, Cycle 1 Planned for 9/27/2012 Release CBC and differential Release Release

More information

Medication Calculation Practice Problems

Medication Calculation Practice Problems Medication Calculation Practice Problems Below is a section of the list of medications that are programmed in the Alaris IV Pump s Guardrail Drug Library. During your orientation you will learn more about

More information

ISPUB.COM. Intravenous Infusion Sets (IV Set) In Anesthesia Practice: A Survey On Their Use And A Look Into The Future. A Hadzic, J Vloka INTRODUCTION

ISPUB.COM. Intravenous Infusion Sets (IV Set) In Anesthesia Practice: A Survey On Their Use And A Look Into The Future. A Hadzic, J Vloka INTRODUCTION ISPUB.COM The Internet Journal of Anesthesiology Volume 4 Number 4 Intravenous Infusion Sets (IV Set) In Anesthesia Practice: A Survey On Their Use And A Look Into The A Hadzic, J Vloka Citation A Hadzic,

More information

Unit 11. Objectives. Indications for IV Therapy. Intravenous Access Devices & Common IV Fluids. 3 categories. Maintenance Replacement Restoration

Unit 11. Objectives. Indications for IV Therapy. Intravenous Access Devices & Common IV Fluids. 3 categories. Maintenance Replacement Restoration Unit 11 Fluids, Electrolytes and Acid Base Imbalances Intravenous Access Devices & Common IV Fluids Objectives Review the purpose and types of intravenous (IV) therapy. Recall the nursing care related

More information

Education for Self Administration of Intravenous Therapy HOME IV THERAPY PICC. Portacath

Education for Self Administration of Intravenous Therapy HOME IV THERAPY PICC. Portacath HOME IV THERAPY PICC Portacath Who To contact Cardio-Respiratory Integrated Specialist Services (CRISS) Office hours 0800 1630 hours Ph: 364 0167 Weekends and after hours, phone Christchurch Hospital operator

More information

A step-by-step preparation guide

A step-by-step preparation guide A step-by-step preparation guide For needle and needle-free systems This guide provides detailed instructions on the reconstitution, dilution, and storage of VELETRI. It is intended to be used after your

More information

Dosage and Calculation

Dosage and Calculation Dosage and Calculation Module for OB & Pedi TABLE OF CONTENTS: PAGE I. Abbreviation 2 II. Systems of Measurement 3 III. IV Calculations a. Flowrates 7 b. Hourly dosage 7-8 c. Hourly rate (Flowrates) 7-8

More information

IV Fluids Nursing B23 Objectives Serum Osmolality 275 to 295 Isotonic

IV Fluids Nursing B23 Objectives Serum Osmolality 275 to 295 Isotonic 1 IV Fluids Nursing B23 2 Objectives 3 Serum Osmolality Serum osmolality solute concentration of a solution Higher osmolality means greater pulling power for water Normal serum osmolality is 275 to 295

More information

LIFEGIFT BRAIN DEATH PLAN

LIFEGIFT BRAIN DEATH PLAN Diagnosis Weight Allergies Admit/Discharge/Transfer ***THIS PLAN IS TO BE ED ONLY ON THE LIFEGIFT ENCOUNTER, WITH DR LIFEGIFT AS THE ATTENDING*** Patient Status Pt Status: Inpatient (Inpatient only procedure)

More information

NICU Nutrition Pathway

NICU Nutrition Pathway NICU Nutrition Pathway Safely Infusing NICU TPN Starter and Custom TPN April17 th 2018 Pharmacists: Paul Kasprzak RPH BCPS Kelly Kopec PharmD Major Practice Changes in the Preparation and Administration

More information

SARASOTA MEMORIAL HOSPITAL

SARASOTA MEMORIAL HOSPITAL SARASOTA MEMORIAL HOSPITAL TITLE: NURSING PROCEDURE CARE OF THE INTRAPARTUM PATIENT RECEIVING CONTINUOUS INTRAVENOUS INSULIN ADMINISTRATION (obs25) DATE: REVIEWED: PAGES: 9/93 12/17 1 of 5 PS1094 ISSUED

More information

Drug Dosage Practice Problems

Drug Dosage Practice Problems Drug Dosage Practice Problems Topics covered: Metric Conversions -------------------------------------------------------------- page 2 General Conversions ------------------------------------------------------------

More information

MARSHALLTOWN MEDICAL & SURGICAL CENTER Marshalltown, Iowa

MARSHALLTOWN MEDICAL & SURGICAL CENTER Marshalltown, Iowa MARSHALLTOWN MEDICAL & SURGICAL CENTER Marshalltown, Iowa CARE OF PATIENT POLICY & PROCEDURES Policy Number: 4:52 Subject: Purpose: Policy: Dobutamine Cardiac Perfusion Scan To administer medication to

More information

Using Ratio and Proportion

Using Ratio and Proportion Chapter 2: Calculation of Dosages and Solution Rates Using Ratio and Proportion 4 Contact Hours By Alene Burke, MSN, RN. Alene received her Master of Science in Nursing Administration and Nursing Education

More information

SARASOTA MEMORIAL HOSPITAL

SARASOTA MEMORIAL HOSPITAL SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: PARENTERAL NUTRITION AND INTRAVENOUS FAT EMULSION (ADULT AND PEDIATRICS) Nursing DATE: REVIEWED: PAGES: RESPONSIBILITY: RN, LPN II 12/80

More information

ADMIT DIABETIC KETOACIDOSIS (DKA) PLAN - Phase: Begin Immediately/Emergency Center

ADMIT DIABETIC KETOACIDOSIS (DKA) PLAN - Phase: Begin Immediately/Emergency Center - Phase: Begin Immediately/Emergency Center Weight PHYSICIAN S Allergies Admit/Discharge/Transfer Patient Status Requested Location: MICU, Pt Status: Inpatient (LOS > 2 midnights) Requested Location: 5E

More information

ALL orders are active unless: 1. Order is manually lined through to inactivate 2. Orders with check boxes ( ) are unchecked

ALL orders are active unless: 1. Order is manually lined through to inactivate 2. Orders with check boxes ( ) are unchecked Available at: BMC-B BMC-D BMC-N BMC-S Condition/Status ***(NOTE)***For purpose of this DKA Regimen, DKA is considered clear only when the CO2 is GREATER than 18 meq/l and the anion gap is LESS than 12

More information

Central Line Care and Management

Central Line Care and Management Central Line Care and Management What is a Central Line/ CVAD? (central venous access device) A vascular infusion device that terminates at or close to the heart or in one of the great vessels (aorta,

More information

Fairview Southdale Hospital Total Points: 50 RN/LPN Medication Assessment Passing: 45

Fairview Southdale Hospital Total Points: 50 RN/LPN Medication Assessment Passing: 45 Fairview Southdale Hospital Total Points: 50 RN/LPN Medication Assessment Passing: 45 1. Your diabetic patient is to be started on an insulin drip at 8 units/hour. The insulin is supplied: 100 units in

More information

PEDIATRIC SKILLED NURSING POLICY AND PROCEDURE MANUAL. Sample Home Health Agency

PEDIATRIC SKILLED NURSING POLICY AND PROCEDURE MANUAL. Sample Home Health Agency 2019 PEDIATRIC SKILLED NURSING POLICY AND PROCEDURE MANUAL Sample Home Health Agency Pediatric Nursing is a nursing specialty that is provided to children in their places of residence. Because of this

More information

Total Parenteral Nutrition and Enteral Nutrition in the Home. Original Policy Date 12:2013

Total Parenteral Nutrition and Enteral Nutrition in the Home. Original Policy Date 12:2013 MP 1.02.01 Total Parenteral Nutrition and Enteral Nutrition in the Home Medical Policy Section Durable Medical Equipment Issue Original Policy Date Last Review Status/Date Return to Medical Policy Index

More information

*Note - If associate is unsuccessful in their attempt to complete the dosage calculation test

*Note - If associate is unsuccessful in their attempt to complete the dosage calculation test Competency Statement: Demonstrates ability to use basic mathematic concepts related to the correct administration of medications. Instructional Strategies: Review of basic math concepts, completion of

More information

A step-by-step preparation guide

A step-by-step preparation guide A step-by-step preparation guide This guide provides detailed instruction on the reconstitution, dilution, and storage of Veletri (epoprostenol) for Injection. It is intended to be used after your healthcare

More information

Easy way to calculate drugs MONA ALHARBI

Easy way to calculate drugs MONA ALHARBI Easy way to calculate drugs MONA ALHARBI Objective At the end of this lecture you should be able to : Calculate dosage drugs. Calculate drip rate (drops/min). Conversion of dosages to ml/hour Calculating

More information

TOTALLY IMPLANTED VENOUS ACCESS DEVICES

TOTALLY IMPLANTED VENOUS ACCESS DEVICES Information for Parents/Carers TOTALLY IMPLANTED VENOUS ACCESS DEVICES This leaflet tells you about having a totally implanted venous access device (Port). It explains what is involved and what the benefits

More information

Allergic reactions anaphylaxis *** CME Version *** Aaron J. Katz, AEMT-P, CIC

Allergic reactions anaphylaxis *** CME Version *** Aaron J. Katz, AEMT-P, CIC Allergic reactions anaphylaxis *** CME Version *** Aaron J. Katz, AEMT-P, CIC www.es26medic.net Some terms Allergic reaction Exaggerated immune system response to an allergen Allergen The thing that causes

More information

2 : In both figures, 1 is the numerator. and 2 is the denominator. 2/5 or 2 : In both figures, 2 is the numerator. and 5 is the denominator.

2 : In both figures, 1 is the numerator. and 2 is the denominator. 2/5 or 2 : In both figures, 2 is the numerator. and 5 is the denominator. CHAPTER 1 CAlculation of dosages and solution RATES USING RATIO AND PROPORTION (3 CONTACT HOURS) By Alene Burke, MSN, RN, received her Master of Science in Nursing Administration and Nursing Education

More information

CONTROLLED DOCUMENT. Guidelines for the use of subcutaneous hydration in palliative care (hypodermoclysis) Controlled Document Number: CG259

CONTROLLED DOCUMENT. Guidelines for the use of subcutaneous hydration in palliative care (hypodermoclysis) Controlled Document Number: CG259 Guidelines for the use of subcutaneous hydration in palliative care (hypodermoclysis) CONTROLLED DOCUMENT CATEGORY: CLASSIFICATION: Controlled Document Number: Version Number: 1 Controlled Document Sponsor:

More information

Course Syllabus National College of Midwifery /2017

Course Syllabus National College of Midwifery /2017 Course Title: Intrapartum IV Therapy Credits: 0 Course Description: This course covers the indications for IV therapy in labor and delivery, procedures for establishing, administering, and discontinuing

More information

Davis s Drug Guide Scavenger Hunt 15 th Edition

Davis s Drug Guide Scavenger Hunt 15 th Edition Davis s Drug Guide Scavenger Hunt 15 th Edition This handout is designed to assist you in locating information in the Davis s Drug Guide. Take advantage of the many resources in this text!! Locate the

More information

MICAFUNGIN MIXING

MICAFUNGIN MIXING 1 1-800-862-2731 MICAFUNGIN MIXING Drug Name: MICAFUNGIN Volume and Rate: over 1 hour Schedule: KEY POINTS: FLUSHING: Saline Micafungin Saline Heparin 1. Always wash your hands with an antibacterial soap

More information

Chemotherapy education leaflet

Chemotherapy education leaflet Chemotherapy education leaflet Chemotherapy with Cytotoxic Medicines This leaflet gives a general overview about chemotherapy. It does not give details about individual chemotherapy medicines or advise

More information

Better Post-Op Pain Control Starts Here

Better Post-Op Pain Control Starts Here Better Post-Op Pain Control Starts Here POST-OP PAIN CONTROL PUMP It s Easy to Get Started About the ACCUFUSER Pump Thank you for considering the This brochure makes it easy for For complete information

More information

PEDIATRIC LIFEGIFT BRAIN DEATH PLAN

PEDIATRIC LIFEGIFT BRAIN DEATH PLAN PHYSICIAN S Diagnosis Weight Allergies Admit/Discharge/Transfer THIS PLAN IS TO BE ED ONLY ON THE LIFEGIFT ENCOUNTER, WITH DR LIFEGIFT AS THE ATTENDING. Patient Status Pt Status: Inpatient (Inpatient only

More information

IV Therapy January, 08 Tip of the Month

IV Therapy January, 08 Tip of the Month Every Hub Every Time IV Therapy January, 08 Tip of the Month Every Hub Every Time No matter what the occasion, SCRUB the catheter ports every single time before access. Evidence Supports SCRUBBING using

More information

Ratios and Proportions. Calculations for Pharmacy Technicians 9/21/2017. Presented by: Antonia Kraljevic PGY2 Pharmacy Practice Resident

Ratios and Proportions. Calculations for Pharmacy Technicians 9/21/2017. Presented by: Antonia Kraljevic PGY2 Pharmacy Practice Resident Calculations for Pharmacy Technicians Presented by: Antonia Kraljevic PGY2 Pharmacy Practice Resident The speaker has no actual or potential conflict of interest in relation to this presentation. Pharmacy

More information

I. Subject: Continuous Aerosolization of Bronchodilators

I. Subject: Continuous Aerosolization of Bronchodilators I. Subject: Continuous Aerosolization of Bronchodilators II. Indications: A. Acute airflow obstruction in which treatment with an aerosolized bronchodilator is desired for an extended period of time, i.e.

More information

PEDIATRIC SPINE SURGERY POST-OP PLAN - Phase:.

PEDIATRIC SPINE SURGERY POST-OP PLAN - Phase:. - Phase:. PHYSICIAN S Diagnosis Weight Allergies DETAILS Patient Care Patient Activity Bedrest Maintain Surgical Drain Maintain JP Drain, Measure Output q12h, and PRN Convert IV to INT when tolerating

More information

Our Commitment to Quality and Patient Safety Core Measures

Our Commitment to Quality and Patient Safety Core Measures Calvert Memorial Hospital is committed to our community, with a focus on patient-centered care. High quality and safe patient care is not our goal, it is our priority. That means delivering the best possible

More information

Chapter 20. Assisting With Nutrition and Fluids

Chapter 20. Assisting With Nutrition and Fluids Chapter 20 Assisting With Nutrition and Fluids Food and water: Are physical needs Basics of Nutrition Are necessary for life A poor diet and poor eating habits: Increase the risk for diseases and infection

More information

Managing Your Pain with a Peripheral Nerve Block

Managing Your Pain with a Peripheral Nerve Block Managing Your Pain with a Peripheral Nerve Block UHN Information for patients and families Read this booklet to learn about: What it is Why it is important How it works Possible side effects Please visit

More information

Injectable Opioid Shortage: February 27, 2018

Injectable Opioid Shortage: February 27, 2018 Injectable Opioid Shortage: February 27, 2018 Beginning approximately June 2017, the supply of hydromorphone injection started to become an issue across the U.S. due to demand exceeding supply per most

More information

CRRT Fundamentals Pre- and Post- Test. AKI & CRRT Conference 2018

CRRT Fundamentals Pre- and Post- Test. AKI & CRRT Conference 2018 CRRT Fundamentals Pre- and Post- Test AKI & CRRT Conference 2018 Question 1 Which ONE of the following statements regarding solute clearance in CRRT is MOST correct? A. Convective and diffusive solute

More information

Morris Hospital EMS System. Medication Administration

Morris Hospital EMS System. Medication Administration Morris Hospital EMS System Medication Administration Drug Dosage Calculations (Cont d) Working with formulas See Med Math Formulas Taught in Class Handout to review formulas used. Drug Dosage Calculations

More information

IV Acetaminophen Pain Study for Neurosurgery Post Op Non ICU Admit Plan Begin Immediately/PACU

IV Acetaminophen Pain Study for Neurosurgery Post Op Non ICU Admit Plan Begin Immediately/PACU Post Op Non ICU Admit Plan Begin Immediately/PACU PHYSICIAN S Weight Allergies Admit/Discharge/Transfer Request Patient Bed Requested Location: 3W, Pt Status: Inpatient (LOS > 2 midnights) Patient Condition

More information

Emergency clamp should always be readily available in case of accidental catheter fracture

Emergency clamp should always be readily available in case of accidental catheter fracture Note: Please see individual policies for further information. Flushing best practice: Always use a 10 diameter syringe or larger when first accessing and when flushing vascular access device (VAD) Use

More information

SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE

SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: DKA / HHNS PATIENTS REQUIRING INTRAVENOUS INSULIN DRIPS -ADULTS Nursing DATE: REVIEWED: PAGES: 12/14 5/18 1 of 8 RESPONSIBILITY: *RN (Renal/Diabetes/Wound

More information

Peripherally Inserted Central Catheter (PICC) Booklet

Peripherally Inserted Central Catheter (PICC) Booklet Aintree University Hospital FT PICC Booklet: a real world example This local booklet is an example used in the NICE medical technology guidance adoption support resource for SecurAcath for securing percutaneous

More information

VAN WERT COUNTY HOSPITAL. Policy/Procedure: Departmental No.: N 11-36A. Issue Date: 7-97 By: Nursing No. of Pages: 6

VAN WERT COUNTY HOSPITAL. Policy/Procedure: Departmental No.: N 11-36A. Issue Date: 7-97 By: Nursing No. of Pages: 6 VAN WERT COUNTY HOSPITAL Policy/Procedure: Departmental No.: N 11-36A Issue Date: 7-97 By: Nursing No. of Pages: 6 Reviewed: 9-14, 8-11, 8-10 Revised: 9-14 Distribution List: All Nursing Departments Concurrence:

More information

Physician Orders PEDIATRIC: LEB DKA Diabetes Mellitus Admit Plan

Physician Orders PEDIATRIC: LEB DKA Diabetes Mellitus Admit Plan Initiate Orders Phase Non Categorized R Powerplan Open Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: Admit DKA Two-Bag Calculations Phase, When to Initiate: Initiate Powerplan Phase Phase:

More information

ADULT POST NEUROLOGIC INTERVENTION ORDERS 2 of 4

ADULT POST NEUROLOGIC INTERVENTION ORDERS 2 of 4 9 Actual 9 Estimated DOWNTIME INTERVENTION 1 of 4 Weight kg 9 Actual 9 Estimated Height cm ALLERGIES: REFER TO ALLERGY PROFILE/ POWERCHART Admit to Dr.: Bed Type: Dx: ( ) Check, circle and/or fill in all

More information

Southern Trust Home IV Service. Guidelines for the administration of IV antibiotics

Southern Trust Home IV Service. Guidelines for the administration of IV antibiotics Southern Trust Home IV Service Guidelines for the administration of IV antibiotics Title: Author: CLINICAL GUIDELINES ID TAG Antibiotic guidelines - Southern Trust Home IV service guidelines for the administration

More information

Physician Orders ADULT: Kidney-Panc/PancTransplant Post Op Plan

Physician Orders ADULT: Kidney-Panc/PancTransplant Post Op Plan Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase T;N, Phase: Kidney-Panc/Panc Transp Post Op Phase, When to Initiate: Kidney-Panc/Panc Transp Post Op Phase Vital Signs Vital

More information

Vaxcel Implantable Ports Valved and Non-Valved. A Patient s Guide

Vaxcel Implantable Ports Valved and Non-Valved. A Patient s Guide Vaxcel Implantable Ports Valved and Non-Valved A Patient s Guide Vaxcel Implantable Port This pamphlet provides some answers to questions you may have about your implantable port and how to care for it

More information

Unit 5: Blood Transfusion

Unit 5: Blood Transfusion Unit 5: Blood Transfusion Blood transfusion (BT) therapy: Involves transfusing whole blood or blood components (specific portion or fraction of blood lacking in patient). Learn the concepts behind blood

More information

SIMPLY. Fluids. Dr Will Dooley

SIMPLY. Fluids. Dr Will Dooley SIMPLY. Fluids Dr Will Dooley Plan Maintenance vs Resuscitation Prescribing Common Errors Calculations Drip rates Case 54 yo presents with severe diarrhoea and vomiting. How would you proceed? Assessment

More information

DOCUMENT CONTROL PAGE

DOCUMENT CONTROL PAGE DOCUMENT CONTROL PAGE Title Title: UNDERGOING SPINAL DEFORMITY SURGERY Version: 2 Reference Number: Supersedes Supersedes: all other versions Description of Amendment(s): Revision of analgesia requirements

More information

Chapter 16 Nutrition, Fluids and Electrolytes, and Acid-Base Balance Nutrition Nutrients Water o Functions Promotes metabolic processes Transporter

Chapter 16 Nutrition, Fluids and Electrolytes, and Acid-Base Balance Nutrition Nutrients Water o Functions Promotes metabolic processes Transporter Chapter 16 Nutrition, Fluids and Electrolytes, and Acid-Base Balance Nutrition Nutrients Water o Functions Promotes metabolic processes Transporter for nutrients and wastes Lubricant Insulator and shock

More information

How to manage your pain

How to manage your pain How to manage your pain UHN Information for patients and families Read this booklet to learn about: Why it is important to manage pain Options to help manage it Who to talk to if you feel pain Patient

More information

CATALOGUE OF MEDICAL DEVICES AND MEDICINAL PRODUCTS

CATALOGUE OF MEDICAL DEVICES AND MEDICINAL PRODUCTS 20 17 CATALOGUE OF MEDICAL DEVICES AND MEDICINAL PRODUCTS PARACÉLSIA - Indústria Farmacêutica, S.A. is a pharmaceutical company founded in 1930, exclusively owned by private capitals. We have been manufacturing

More information

X: Infusion Therapy. Saskatchewan Association of Licensed Practical Nurses, Competency Profile for LPNs, 3rd Ed. 201

X: Infusion Therapy. Saskatchewan Association of Licensed Practical Nurses, Competency Profile for LPNs, 3rd Ed. 201 X: Infusion Therapy Saskatchewan Association of Licensed Practical Nurses, Competency Profile for LPNs, 3rd Ed. 201 Competency: X-1 Principles of X-1-1 X-1-2 X-1-3 X-1-4 X-1-5 Demonstrate knowledge and

More information

Chapter Goal. Learning Objectives 9/11/2012. Chapter 6. Venous Access

Chapter Goal. Learning Objectives 9/11/2012. Chapter 6. Venous Access Chapter 6 Venous Access Chapter Goal Understand basic principles of venous access & IV therapy, as well as relate importance of employing appropriate BSI precautions when employing these precautions Learning

More information

Opioid reduction strategies in an academic tertiary medical center

Opioid reduction strategies in an academic tertiary medical center Opioid reduction strategies in an academic tertiary medical center Terry Bosen, PharmD Medication Safety Program Director Vanderbilt University Medical Center Tennessee MME data per capita MME = Morphine

More information

Gastrostomy Tube Feeding

Gastrostomy Tube Feeding Gastrostomy Tube Feeding A gastrostomy tube (g-tube) is a tube that enters through your abdomen and rests in your stomach. This tube is used for tube feeding formula, water, and medicine (instead of taking

More information

SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE

SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: ADMINISTRATION OF A FEEDING (CONTINUOUS OR INTERMITTENT) OR MEDICATION VIA A GASTROSTOMY TUBE-ADULT Nursing DATE: REVIEWED: PAGES: 07/82

More information

Intravenous therapy and medication. ELCT Health Department Quality Assurance 2007

Intravenous therapy and medication. ELCT Health Department Quality Assurance 2007 Intravenous therapy and medication ELCT Health Department Quality Assurance 2007 Intravenous therapy and medication the procedure is absolutely sterile, everything should be handled remaining sterility

More information

Organ Donor Management Recommended Guidelines ADULT CARDIAC DEATH (DCD)

Organ Donor Management Recommended Guidelines ADULT CARDIAC DEATH (DCD) Date: Time: = Always applicable = Check if applicable ADMISSION INSTRUCTIONS Move to Comfort Care Note in chart. Contact initiated with BC Transplant Consent for Organ Donation obtained Code Status: Full

More information

Pain relief after major surgery

Pain relief after major surgery Page 1 of 6 Pain relief after major surgery Introduction The aim of this leaflet is to tell you about the main pain relief options available after major surgery. You will probably only need this for the

More information

Drug Max dose approved for IVP Dilution Rate Monitoring Parameters. Dilution not necessary (Available in prefilled syringe)

Drug Max dose approved for IVP Dilution Rate Monitoring Parameters. Dilution not necessary (Available in prefilled syringe) Drug Max dose approved for IVP Dilution Rate Monitoring Parameters Acetazolamide 500 mg Reconstitute with at least 5ml sterile water (max concentration should not exceed 100mg/ml) 100-500 mg/min Hypotension

More information

SLCC Math 1020 Fall 2010 Final Exam Name: Part I: You are not allowed to use calculators, books, or notes. Answer all questions. Do it by yourself.

SLCC Math 1020 Fall 2010 Final Exam Name: Part I: You are not allowed to use calculators, books, or notes. Answer all questions. Do it by yourself. SLCC Math 1020 Fall 2010 Final Exam Name: Part I: You are not allowed to use calculators, books, or notes. Answer all questions. Do it by yourself. 1. Use the adult s nomogram to find the BSA of a person

More information

Competency Indicators Pediatrics Registered Nurse

Competency Indicators Pediatrics Registered Nurse Hospital Logo Competency Indicators Pediatrics Registered Nurse mployee Name: Review Key: = ducation Session valuation Key: Able to perform & document A: Airway assessment: mployee Describes unique airway

More information

CRRT Fundamentals Pre-Test. AKI & CRRT 2017 Practice Based Learning in CRRT

CRRT Fundamentals Pre-Test. AKI & CRRT 2017 Practice Based Learning in CRRT CRRT Fundamentals Pre-Test AKI & CRRT 2017 Practice Based Learning in CRRT Question 1 A 72-year-old man with HTN presents to the ED with slurred speech, headache and weakness after falling at home. He

More information

Organ Donor Management Recommended Guidelines ADULT Brain Death (NDD)

Organ Donor Management Recommended Guidelines ADULT Brain Death (NDD) Date: Time: = Always applicable = Check if applicable ADMISSION INSTRUCTIONS Neurological Determination of Death (NDD) has been performed by at least 2 licensed physicians Contact initiated with BC Transplant

More information

MAKE THE CLEAR CHOICE. IV Products and Accessories Designed to Help Maximize Clinical Performance While Optimizing Savings

MAKE THE CLEAR CHOICE. IV Products and Accessories Designed to Help Maximize Clinical Performance While Optimizing Savings MAKE THE CLEAR CHOICE. IV Products and Accessories Designed to Help Maximize Clinical Performance While Optimizing Savings EXCEPTIONAL QUALITY, PERFORMANCE AND VALUE. Infuse medications and fluids accurately

More information

PACKAGE LEAFLET: INFORMATION FOR THE USER. Active substance: enoximone

PACKAGE LEAFLET: INFORMATION FOR THE USER. Active substance: enoximone PACKAGE LEAFLET 1 PACKAGE LEAFLET: INFORMATION FOR THE USER Perfan Injection 100 mg/20 ml Concentrate for Solution for Injection Active substance: enoximone Read all of this leaflet carefully before you

More information

Appendix B: Constant Rate Infusions Example Calculations

Appendix B: Constant Rate Infusions Example Calculations Appendix B: Constant Rate Infusions Example Calculations For Syringe Pump 1. A 20 lb patient needs a 5 µg/kg fentanyl loading dose before being placed on a fentanyl constant rate infusion (CRI) at 3 µg/kg/h

More information