2. INTRODUCTION
โข A relatively large dose of medications are
administered into the vein in a short period
usually 1 to 30 minutes
โข The IV bolus is not used for patients who have
decreased cardiac output or systemic edema
โข The IV bolus is commonly used when rapid
administration is needed
3. DEFINITION
โข An IV bolus involves introducing a
concentrated dose of a drug directly into the
systemic circulation
โข IV bolus may be given directly into a vein into
an existing IV line through an injection port or
through a saline or heparin lock
4. INDICATIONS
โข It provides control of over dosage
โข For quick administration of medication
โข For patients who DO NOT like to take
medications orally
โข For quick absorption of medication
5. CONTRAINDICATION
โข An iv bolus should never be given if the
insertion site appears puffy or edematous
โข If the fluid from the connecting iv line cannot
flow at a proper rate
โข When the iv line is not in place
โข When the medication is oilly or thick in
substance it should not be given through push
6. PREPARARTION OF ARTICLE,
NURSE, ENVIRONMENT AND
PATIENTPREPARATION OF ARTICLES
.Syringe 10 ml
.Iv push existing line
.Vial or ampule of medication
.Sterile needle (21 or 25 G)
.Alcohol swab (wet cotton)
.Clean gloves
.Paper bag
.Kidney tray
.Medication card
.Syringe tray
.Label for medication
.Posiflush
12. PREPARATION OF ENVIRONMENT
CONTINUED
โข ENSURE ADEQUATE LIGHT AND VENTILATION.
โข PROVIDE PRIVACY.
โข KEEP THE UNIT CLEAN.
โข KEEP THE CARDIAC TABLE NEAR TO THE
PATIENTS BEDSIDE FOR EASY ACCESS.