General Information
Advantages of Direct IV
Potential Risks
Administration
Disadvantages
100
The two methods of Direct IV administration.
What is a vein and an injection cap on an existing central or peripheral IV site?
100
A route to deliver drugs that would otherwise damage surrounding tissues.
What is Direct IV?
100
A sudden adverse physiological reaction to IV medications or drugs that are administered too quickly. Some signs of this complication are a flushed face, headache, a tight feeling in the chest, irregular pulse, loss of consciousness, and cardiac arrest.
What is speed shock?
100
What are 4 of the 8 rights of direct IV medication administration?
What is 1. Right Medication 2. Right Dose 3. Right Time 4. Right Route 5. Right Patient 6. Right Reason 7. Right Rate 8. Right Documentation?
100
When you are busy, this disadvantage to direct IV administration can really slow you down.
What is time consuming nature of administration?
200
The most dangerous method of administering drugs as you have no time to correct an error.
What is direct IV administration?
200
Compared to continuous IV administration, direct IV administration requires minimal ________ of the medication.
What is dilution?
200
This reaction occurs inside a fluid container or infusion line and can be either physical or chemical.
What is incompatibility?
200
These should be reviewed prior to direct IV medication administration.
What is the patient order, medication administration record, and parental drug monograph?
200
Sloughing, nerve damage and scarring are all potential side effects if this occurs with certain medications.
What is extravasation?
300
The three methods for administering IV medication.
What are continuous IV infusion, intermittent IV infusion, and direct IV?
300
Less of this is noted with direct IV administration versus IM or SC routes.
What is discomfort or need for "pokes"?
300
Localized redness and swelling, pain or burning along the length of the vein, and the vein being hard and cord-like are signs and symptoms of this IV administration complication.
What is vascular irritation or phlebitis?
300
A baseline set of these should be obtained prior to direct IV medication administration.
What are vital signs?
300
Once you administer a medication through direct IV, you cannot do this.
What is retrieve it?
400
These terms should not be used as they mean to push a medication quickly, usually less than one minute.
What are "IV push" and "IV bolus"?
400
An alternative to oral routes of administration.
What is an advantage to direct IV administration?
400
The definition of extravasation.
What is infiltration or effusion of a IV medication from the vein into surrounding tissue?
400
Teaching that should be done prior to administering direct IV medication.
What is informing the patient of the medication being administered and confirming no allergies or sensitivities, informing the patient of the purpose and expected response/reaction, and educating the patient to report any adverse reactions?
400
This effect of a medication can change when it is administered via direct IV.
What is the duration?
500
Resource available regarding medications and their compatibility and where to find this resource.
What is the drug monograph, found on Compassionnet?
500
Because the medication is administered directly into the vein, direct IV eliminates the process of drug absorption resulting in this outcome.
What is immediate onset of therapeutic effect?
500
The steps taken to manage an adverse reaction to a direct IV medication (5 steps).
What is stopping the injection immediately; assessing and monitoring vital signs, notifying the physician, performing basic CPR (if required) and documenting the event.
500
The flush-medication administration-flush method of direct IV medication is used in these circumstances.
What are when medications are not compatible; compatibility cannot be determined; into a saline/heparin lock or direct IV administration into a temporary IV site?
500
These effects will occur immediately and may be exacerbated by rapid administration with direct IV administration.
What is any adverse or toxic effects?
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