Lecture Notes: Reconstituting IVP Medications and Other Procedures

1. Reconstituting IVP Medication

• Definition: The process of mixing a powdered medication with a diluent to prepare an intravenous push (IVP) medication.
• Importance: Ensures proper dosage and administration safety.
• Steps:
  • Gather necessary supplies: vial of medication, sterile syringe, diluent (e.g., sterile water or saline).
  • Follow aseptic technique to maintain sterility.
  • Inject the diluent into the vial containing the powdered medication.
  • Gently mix until completely dissolved.
  • Verify the reconstituted solution is clear and free of particulates before administration.

2. Administering IVP Medications via Peripheral Intravenous (PIV) Medlock

• Preparation: Ensure the medlock is patent and properly flushed before administration.
• Procedure:
  • Clean the port with an antiseptic wipe.
  • Attach the syringe with the medication to the medlock.
  • Administer the medication slowly to reduce potential side effects.
  • Flush with saline post-administration to ensure all medication is delivered and to maintain patency.

3. Spiking and Priming IV Bag Lines

• Definition: The process of preparing IV bags and lines for fluid administration.
• Steps:
  • Verify the IV solution and expiration date.
  • Spike the IV bag with the IV tubing.
  • Prime the line by allowing fluid to flow through and displace air.
  • Check for air bubbles which should be removed to prevent air embolism.

4. Administering IVP via Running IV Line

• Integration: Utilize existing IV line for medication administration.
• Steps:
  • Identify and clamp the running IV line above the injection port.
  • Clean the injection port with an antiseptic wipe.
  • Administer the medication via the port.
  • Flush with saline before resuming the IV fluid.

5. Tracheostomy Suctioning

• Purpose: Remove secretions from tracheostomy to maintain airway patency.
• Procedure:
  • Assemble suction equipment and ensure it is functioning.
  • Use sterile technique to insert suction catheter into tracheostomy.
  • Apply suction while withdrawing the catheter, not while inserting.
  • Limit suction duration to prevent hypoxia.

6. Tracheostomy Care

• Goal: Maintain cleanliness and reduce infection risk.
• Steps:
  • Clean around the stoma with antiseptic wipes.
  • Replace the inner cannula if necessary, using sterile technique.
  • Ensure proper trach appliance fitting to prevent skin breakdown.

7. Central Venous Line (CVL) and Cap Care

• Importance: Prevent infection and ensure line patency.
• Procedure:
  • Routine inspection and dressing changes.
  • Clean the cap and connection points with antiseptic solution.
  • Flush the line with saline or heparin as per protocol to maintain patency.

These notes provide a comprehensive overview of the procedures discussed, ensuring a solid understanding of each process and its relevance in clinical practice.