Titration
This term refers to medication infusions in which the medication dose is either progressively increased or decreased in response to the patient's assessment and status
What is titration
Per Policy Digoxin may be administered on any unit as long as the patient has this type of monitoring.
What is continuous telemetry monitoring?
Anticoagulants are used to prevent this, which can lead to strokes.
What is clot formation or clotting?
For patients receiving diuresis it is important to track their response to therapy using these 2 techniques.
What is Monitoring Strict I/O and Daily Weights?
If you have to hold or stop an IV drip infusion you must obtain
What is an order from the provider?
Frequently titrated IV infusions can only be administered in this care setting.
What is Critical Care (ICU) units
Adenosine cannot be administered outside critical care units unless during this event.
What is a code blue or rapid response?
Your patient took Apixaban (Eliquis) at home and now you have to start them on a heparin drip. You would draw this lab to start the infusion.
What is aPTT for the first 48 hours then switch to anti-Xa.
When administering a continuous infusion of furosemide (Lasix), patient must have this type of monitoring ordered?
What is cardiac monitor/telemetry?
IV drip initiation and dose/rate changes are documented here
What is the MAR?
The highest frequency of monitoring that can be ordered on a M/S level patient
What is every 2 hours.
Amiodarone is used for treatment of which common non life threatening arrhythmia?
What is Atrial fibrillation (A-Fib)?
What is the frequency of lab monitoring for a patient on a Heparin drip after initiation is
What is q6 hours?
Lasix IVP can be administered on any unit (dose not to exceed 40mg) and continuous infusion except this care area.
What is Post-Acute?
This resource can be used to look up medications and run IV compatibility reports
What is Lexicomp?
In emergent situations, a medication that requires ICU level monitoring can be initiated on a M/S unit with the support of these care teams
What is the Rapid Response and Code Blue Teams.
A special consideration for patients receiving IV amiodarone is
What is telemetry monitoring
This less common anticoagulant requires Q2 hour lab monitoring and can be administered on every unit except post-acute.
What is Argatroban?
Milrinone (Primacor) is incompatible with this commonly used loop diuretic
What is furosemide (Lasix)?
Patients receiving the inotrope Dobutamine (Dobutrex) must be in ICU with continuous telemetry monitoring when the dose exceeds this amount.
What is 5 mcg/kg/min
A medication that can only be administered IV drip by a Critical Care nurse when titrating for diabetes
(Must specify type)
What is Regular Insulin
The bolus dose of amiodarone is usually _____ mg.
What is 150 mg?
After 2 consecutive therapeutic levels lab times can be adjusted to...
What is Daily (qAM)
Dr. orders milrinone (Primacor) 0.375mcg/kg/min for your patient. Pharmacy sends you milrinone 20mg in 100mls. Your patient weight is 79 kg.
What rate do you start your drip? (ml/hr)
What is 8.89 ml/hr?
This type of titratable medication requires portless tubing and a lock box while being administered.
What are narcotics?