IV bolus procedure including indications,contraindications,etc...

1. INTRAVENOUS
BOLUS

2. INTRODUCTION
• A relatively large dose of medications are
administered into the vein in a short period
usually 1 to 30 minutes
• The IV bolus is not used for patients who have
decreased cardiac output or systemic edema
• The IV bolus is commonly used when rapid
administration is needed

3. DEFINITION
• An IV bolus involves introducing a
concentrated dose of a drug directly into the
systemic circulation
• 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
• It provides control of over dosage
• For quick administration of medication
• For patients who DO NOT like to take
medications orally
• For quick absorption of medication

5. CONTRAINDICATION
• An iv bolus should never be given if the
insertion site appears puffy or edematous
• If the fluid from the connecting iv line cannot
flow at a proper rate
• When the iv line is not in place
• 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

7. PREPARATION OF NURSE

8. PREPARATION OF NURSE
CONTINUED…
• CHECK DOCTORS ORDER.
• COLLECT ALL THE ARTICLES FOR THR
PROCEDURE.
• PERFORM HAND HYGIENE.

9. PREPARATION OF PATIENT

10. PREPARATION OF PATIENT
CONTINUED
• EXPLAIN THE PROCEDURE TO THE PATIENT.
• PROVIDE COMFORTABLE POSITION.
• PROVIDE MORAL SUPPORT.

11. PREPARATION OF ENVIRONMENT

12. PREPARATION OF ENVIRONMENT
CONTINUED
• ENSURE ADEQUATE LIGHT AND VENTILATION.
• PROVIDE PRIVACY.
• KEEP THE UNIT CLEAN.
• KEEP THE CARDIAC TABLE NEAR TO THE
PATIENTS BEDSIDE FOR EASY ACCESS.

13. VIP SCORE

14. COMPLICATION
• Local :
infiltration extravarationt/
thrombosis
• Systemic :
embolism of air
hematoma
systemic infection
circulatory overload
allergic reaction