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Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Chapter 35
Intravenous Medications
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
•Is the following statement true or
false?...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
True.
The intravenous (IV) route of drug
adm...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Intravenous Medication
Administration
• Intravenous...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Intravenous Medication
Administration (cont’d)
• Si...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Administering Medications
Through an Intravenous Po...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Intravenous Medication
Administration (cont’d)
• Co...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Intravenous Medication
Administration (cont’d)
• In...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Administering Medications
Through a Lock
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Medication Lock
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Intravenous Medication
Administration (cont’d)
• In...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Piggyback Arrangement
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Volume-Control Set
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
•Which of the following involves the
admin...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
c. Secondary infusion
Secondary infusion is ...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Central Venous Catheters
• Administer parenteral me...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Using a Central Venous Catheter
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Central Venous Catheters (cont’d)
• Percutaneous ca...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Tunneled Catheter
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Central Venous Catheters (cont’d)
• Medication admi...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
•Is the following statement true or false?...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
False.
Antineoplastic agents are toxic to no...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Implications
• Antineoplastic drugs require...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
General Gerontologic Considerations
• Administratio...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
General Gerontologic Considerations
(cont’d)
• Expl...
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Ppt chapter 35

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  1. 1. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 35 Intravenous Medications
  2. 2. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Question •Is the following statement true or false? The intravenous (IV) route of drug administration is considered the most dangerous route.
  3. 3. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer True. The intravenous (IV) route of drug administration is considered the most dangerous route.
  4. 4. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Intravenous Medication Administration • Intravenous (IV) route: administration via peripheral and central veins is immediately effective and the most dangerous • Situations for administering IV meds: – Clients have disorders affecting the absorption or metabolism of drugs – Quick response is needed during an emergency
  5. 5. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Intravenous Medication Administration (cont’d) • Situations for administering IV meds (cont’d): – Blood levels of drugs must be maintained at a consistent therapeutic level – Client wants to avoid repeated painful intramuscular injections – A mechanism is needed to administer drug therapy over a prolonged period, as with cancer
  6. 6. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Administering Medications Through an Intravenous Port
  7. 7. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Intravenous Medication Administration (cont’d) • Continuous administration: continuous drip; adding medication to a large volume • Intermittent administration: short-term parenteral administration of medication – 3 types: bolus and secondary administration and volume-control set
  8. 8. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Intravenous Medication Administration (cont’d) • Intermittent administration (cont’d) – Bolus administration: undiluted medication given quickly into a vein o Using an IV port: extends from the IV tubing o Using a medication lock: allows instant access to the venous system
  9. 9. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Administering Medications Through a Lock
  10. 10. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Medication Lock
  11. 11. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Intravenous Medication Administration (cont’d) • Intermittent administration (cont’d) – Secondary infusions: administration of a parenteral drug that is diluted in a small volume of IV solution – Volume-control set: chamber in IV tubing that holds a portion of the solution from a larger container
  12. 12. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Piggyback Arrangement
  13. 13. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Volume-Control Set
  14. 14. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Question •Which of the following involves the administration of a parenteral drug that has been diluted in a small volume of IV solution? a. Continuous administration b. Bolus administration c. Secondary infusion d. Volume-control set
  15. 15. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer c. Secondary infusion Secondary infusion is the administration of parenteral drug that has been diluted in a small volume of IV solution. Bolus administration occurs when a substance is given all at one time. Continuous administration is the instillation of a parenteral drug over several hours. A volume-control set is a chamber that holds a portion of the solution.
  16. 16. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Central Venous Catheters • Administer parenteral medication in a large volume of blood when: – Clients require long-term IV fluid – IV medications are irritating to peripheral veins – It is difficult to insert or maintain a peripherally inserted catheter
  17. 17. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Using a Central Venous Catheter
  18. 18. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Central Venous Catheters (cont’d) • Percutaneous catheters: inserted through the skin in a peripheral vein • Tunneled catheters: inserted into a central vein with part of the catheter secured in the subcutaneous tissue • Implanted catheters: sealed beneath the skin
  19. 19. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Tunneled Catheter
  20. 20. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Central Venous Catheters (cont’d) • Medication administration using a CVC: continuous or intermittent infusions may be used – Antineoplastic drugs: medications used to destroy or slow the growth of malignant cells; chemotherapy
  21. 21. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Question •Is the following statement true or false? Antineoplastic agents are toxic only to abnormal cells.
  22. 22. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer False. Antineoplastic agents are toxic to normal and abnormal cells.
  23. 23. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Implications • Antineoplastic drugs require extreme caution • Nursing diagnosis: – Anxiety, fear, risk for injury and infection, excess fluid volume, and ineffective protection
  24. 24. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins General Gerontologic Considerations • Administration of IV medications is quite common in older clients • Percutaneous central venous line is better than risking the trauma of repeated attempts at peripheral IV sites • Collaborate with prescribing practitioner on the possibility of administering the same drug by another route
  25. 25. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins General Gerontologic Considerations (cont’d) • Explain the purpose and potential side effects for each drug administered, especially by the IV route • Older clients tend to metabolize and excrete drugs at a slower rate • Older clients tend to have more free drug in proportion to bound drug due to diminished protein components in their blood
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