Lecture on IV Medication Administration Using Baxter Pump

Introduction

• Overview of Baxter pump screen and its functions
• Focus on reconstitution of secondary medication

Baxter Pump Features

• Main Screen: Displays rate (mL/hour), volume remaining
  • Ensure volume displayed matches primary bag
  • Time remaining before a new bag is needed
• Top Panel Features:
  • Volume History: Breakdown of primary and secondary IV volumes
  • Alarm Silence: Temporarily silence alarms
  • Backlight: Dim screen for night shifts
  • Number Pad: Input information
  • Start and On/Off buttons
• Tubing Set: Location to load primary and secondary lines

Secondary Medication Demo

Preparation

• Assessment:
  • Verify physician's order against MAR and CAR-Dx
  • Patient: Reese Elliott
  • Medication: Solumedrol 80mg IV every 12 hours
  • No known allergies
• Medication Information:
  • Use IV drug guide for administration guidelines
  • Focus on administration time and compatibility
• Mini Bag Selection:
  • Dilute in 50 to 100 mL of D5W or normal saline
  • Choose based on patient needs (e.g., fluid overload risk)

Administration

• Compatibility Check:
  • Ensure compatibility with primary IV and mini bag solution
  • Use compatibility chart if necessary
• IV Site Assessment:
  • Check IV site for patency (drip chamber observation)
  • Ensure no leakage, edema, redness, or pain
• Equipment Gathered:
  • Mini bag, syringe, blunt tip needle, alcohol swabs, labels, secondary IV tubing, medication

Medication Preparation

• First Check:
  • Verify medication and dosage
  • Check physical integrity and expiry of powder
• Dosage Calculation:
  • Desired dose over dose on hand times volume
  • Calculate flow rate (mL/hour)

Mixing and Administration

• Mixing:
  • Reconstitute powder with specified saline amount
  • Ensure thorough mixing and liquid integrity
• Final Check and Administration:
  • Check syringe dose and medication vial
  • Inject medication into mini bag, maintain sterility
  • Label mini bag with patient and medication details

Execution and Monitoring

• Patient Interaction:
  • Wash hands, verify patient ID, inform patient of medication
• Attach and Prime Tubing:
  • Hang secondary bag higher than primary
  • Inspect tubing integrity and prime line
• Pump Setup:
  • Input rate and volume to be infused
  • Confirm settings and ensure secondary is infusing

Post-Administration

• Monitoring:
  • Check for adverse reactions
  • Ensure IV site integrity
• Documentation:
  • Document administration time and details on MAR

These notes summarize the key points on how to administer secondary medication using a Baxter pump, emphasizing preparation, execution, and monitoring throughout the process.