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AT THE END OF THIS LECTURE, THE PARTICIPANTS

WILL BE ABLE TO:


1. REVIEW THE LIST OF HIGHLY CONCENTRATED
MEDICATIONS.
2. IDENTIFY THE POSSIBLE COMPLICATIONS OF
ADMINISTRATION OF HIGHLY CONCENTRATED
MEDICATIONS.
3. ENUMERATE THE NURSING RESPONSIBLITIES
DURING THE ADMINISTRATION OF HIGHLY
CONCENTRATED MEDICATIONS.
INTRAVENOUS (IV) IS A METHOD OF ADMINISTERING
CONCENTRATED MEDICATIONS (DILUTED OR
UNDILUTED) DIRECTLY INTO THE VEIN USING A
SYRINGE THROUGH A NEEDLELESS PORT ON AN
EXISTING IV LINE OR A SALINE LOCK. THE DIRECT IV
ROUTE USUALLY ADMINISTERS A SMALL VOLUME OF
FLUID/MEDICINE (MAX 20 ML) THAT IS PUSHED
MANUALLY INTO THE PATIENT.
MEDICATIONS GIVEN BY IV ARE USUALLY
ADMINISTERED INTERMITTENTLY TO TREAT EMERGENT
CONCERNS. MEDICATIONS ADMINISTERED BY DIRECT
IV ROUTE ARE GIVEN VERY SLOWLY OVER AT LEAST 1
MINUTE (PERRY ET AL., 2014). ADMINISTERING A
MEDICATION INTRAVENOUSLY ELIMINATES THE
PROCESS OF DRUG ABSORPTION AND BREAKDOWN BY
DIRECTLY DEPOSITING IT INTO THE BLOOD.
THIS RESULTS IN THE IMMEDIATE ELEVATION OF
SERUM LEVELS AND HIGH CONCENTRATION IN VITAL
ORGANS, SUCH AS THE HEART, BRAIN, AND KIDNEYS.
BOTH THERAPEUTIC AND ADVERSE EFFECTS CAN
OCCUR QUICKLY WITH DIRECT INTRAVENOUS
ADMINISTRATION (ALBERTA HEALTH SERVICES, 2009).
DOBUTAMINE

DOPAMINE
NOREPINEPHRINE

VASOPRESSIN
EPINEPHRINE
CALCIUM CHLORIDE
CALCIUM GLUCONATE
POTASSIUM CHLORIDE
SODIUM BICARBONATE
SODIUM CHLORIDE 3%
MAGNESIUM SULPHATE
BUSULPHAN MITOMYCIN
ACTINOMYCIN-D PACLITAXEL
DAUNORUBICIN TREOSULFAN
DOXORUBICIN VINBLASTINE
EPIRUBICIN VINCRISTINE
IDARUBICIN VINORELBINE
TOTAL PARENTERAL
NUTRITION

MANNITOL

DEXTROSE >10%
- RADIOGRAPHIC CONTRAST MEDIA
- PROMETHAZINE (PHENERGAN)
- DIAZEPAM
- DIGOXIN
REFERENCE: https://www.gosh.nhs.uk/
• IT EFFECTED SYSTEMIC CIRCULATION, RESULTING IN TOXIC
LEVELS OF MEDICATION IN THE PLASMA
• CARDIAC ARREST
• FLUSHED FACE,
• HEADACHE
• IRREGULAR PULSE
• SHOCK,
• SYNCOPE
• TIGHTNESS IN THE CHEST
• RESPIRATORY DEPRESSION
• BLOOD PRESSURE DROP
• COMPLICATIONS MAY OCCUR IF MEDICATION IS INJECTED
INCORRECTLY, IF INCORRECT EQUIPMENT (NEEDLE OR
SYRINGE)
• TISSUE DAMAGE
• PAIN BLEEDING
• IV SITE SHOWS SIGNS OF PHLEBITIS OR IRRITATION
• TISSUE NECROSIS
• VEIN DAMAGE
• INFILTRATION
• HEMATOMA
• AIR EMBOLISM
• SEPTIC THROMBOPHLEBITIS CAN RESULT FROM POOR
ASEPTIC TECHNIQUE
The nurses’ primary role in the medication
process is to ensure that drugs are
administered safely to patients and to
reduce the risk of injury. High alert
medications are of particular concern for
healthcare professionals since they are
associated with an increased risk of causing
patients harm.
1. THE 9 RIGHTS OF MEDICATIONS ADMINISTRATION:
a. PATIENT (WITH 2 IDENTIFIERS)
b. DRUG
c. TIME
d. DOSE
e. ROUTE
f. DOCUMENTATION
g. REASON
h. RESPONSE
i. REFUSE
2. PROPER ASSESSMENT, VERIFICATION AND CONFIRMATION OF IV
ACCESS.
a. CHECK THE MEDICATION WITH ANOTHER STAFF NURSE
b. CHECK PERIPHERAL LINE IT SHOULD BE PATENT AND CLEAN
c. MAKE SURE THAT LINE WITH BACK FLOW
d. FLASH THE LINE BEFORE AND AFTER ADMINISTRATION THE
MEDICATION WITH NS10ML
3. MONITORING DURING MEDICATION ADMINISTRATION.
a. FOLLOW UP THE RATE THAT WAS WRITTEN
b. AVOID MAKING MEDICINE RUNNING VERY FAST
c. CHECK PERIPHERAL LINE SITE HOURLY AND IF THERE ARE ANY
SIGNS OF SKIN DISORDER LIKE HEMATOMA REDNESS,
IRRITATION OR SWELLING
d. IF PATIENT COMPLAINS OF PAIN STOPPED MEDICATION
IMMEDIATELY REMOVE CANNULA, ELEVATE THE SITE INFORM
YOUR DOCTOR ABOUT SKIN CONDITION, INSERT ANOTHER
CANNULA ON OTHER SITE AND CONTINUE MEDICATION WITH
CHECKING SITE HOURLY
e. SEND REFERRAL TO SWOT TEAM FOR SKIN DISORDER
4. EVALUATION OF MEDICATION ADMINISTRATION.
a. ACHIEVEMENT OF THE DESIRED EFFECTS OF THE MEDICATIONS
b. PRESENCE OF ADVERSE REACTIONS OR COMPLICATIONS AFTER
THE MEDICATION ADMINISTRATION
c. PROPER DOCUMENTATION

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