Packed RBC’s are created by removing a large amount of plasma from the whole blood.
Medication Safety: with all drug administration, nurses must be knowledgeable about drug indications, proper dosage, contraindications, and precautions. IV administration also requires knowledge of appropriate dilution, rate of infusion, pH and osmolarity, compatibility with other IV medications, and specific aspects of patient monitoring because of its immediate effect. Regardless of familiarity with the drug, never assume that IV administration is the same as giving that drug by other routes . In the 2010 National Patient Safety Goals. strategies to reduce errors include limiting available concentrations of drugs and dispensing all drugs, including catheter flush solutions, in single-dose containers. Smart pumps, in combination with computer physician order entry (CPOE) and bar code medication administration (BCMA) systems, use recent technology to help reduce adverse drug events (ADEs). Electronic medication administration records (MARs) and multiple checks by pharmacists also help reduce errors.
Disadvantage to this type of catheter is that a large amount of drug escape into the SQ tissue before the problem is detected. Blood sampling should not be routinely performed. Midline can be made with a pressure sensitive valve at the end that is open under pressure, when you administer the NS, to open the valve or they are open ended.
Basilic vein the preferred site for insertion. Single or dual lumen
Chemo., LT Abx., TPN
Dual of triple lumens
Used for TPN clients that need therapy for months or even years of their life. IE Hickman, Broviac
Smart pumps are infusion pumps with dosage calculation software, have be noted to decrease the number of adverse drug events. Can pre-program dosing limits to prevent fluid overload.
