Administration & Calculation Of Drugs, Iv Fluids

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Administration & Calculation of

Drugs, IV fluids, Blood & Blood Components

Mohammed Alhabsi IndananClinical Instructor

King Abdul Aziz Specialist Hospital

Taif, Kingdom of Saudi Arabia

King Abdulaziz Specialist Hospital-Taif

www.themegallery.com

Administration of Drugs

1. Medication Ordering2. Medication Transcription3. Medication Administration4. Medication Documentation5. Unused Medication6. Medication Safety



1. Medication Ordering Written Orders Verbal Orders Telephone Orders Unclear Order


Administration of Drugs Administration of Drugs

2. Medication Transcription

3. Medication Administration: RN Standard medication time/with approved used

of abbreviation Do NOT use the Kardex to medicate Report unexpected reaction, Medication Error Error in preparation by the pharmacist



Observe the 7 rights 30 minutes before and or 30 minutes after the

specified time ONLY. Observe & document adverse reaction Labeled open medication Weight 2 RN’s Check the ff. medication;

Narcotic & Controlled drugs, Anticoagulants, Chemotherapeutic drugs, Digoxin, Mg. Sulfate, K Chl., Heparin, Insulin, Aminophylline for pediatrics and all other High-Risk medications


Administration IV Fluids

Intravenous Therapy:Intravenous Therapy: Introduction of fluids, blood, drugs directly into

the vascular system for therapeutic & diagnostic purposes.

Intravenous FluidIntravenous Fluid:: Those fluids which are administered into the

circulatory system through a vein.


Administration IV Fluids

RN follow IV therapy protocol, including Infection Control guidelines

Only RN passed written test on med. Calculation & IV therapy

Completed 3 cannulations under supervision Antibiotics in NICU: used SOLU-set IV Digitalis & Narcotics: IV push given only in

high risk area with cardiac monitoring Strict aseptic technique Verified order Response to IV therapy


Drug Calculations

Total volume to be infused X drop factor

Total hour X 60mins

500ml X 20

8 hours X 60

20.8 or 21 gtts/min


Drug Calculations

DH

25mg

100mg

0.5 ml

X Q

X 2ml


Blood & Blood Components

BT- introduction of blood and/or its derivatives into the circulation

Ordering: Product type Amount Flow rate & transfusion time Date & time of administration Signed consent Request form must be fully completed



Blood Products Availability:

Whole blood 450ml

Packed RBC 200ml

FFP 150ml

Platelets 50ml

Cryoprecipitate 50ml



Packed RBC Not be hang for more than 4 hours

Platelet Concentration Administer quickly as possible but within not

more than 30 minutes Collected one at a time 150-280 micron filter Y type MUST be used.

FFP Administered as quickly as possible but within

less than 4 hours



Cryoprecipitate Administered as quickly as possible but within

not more than 4 hours All blood products directly transfuse & heparin

Lock must be removed. Recommended gauge:

Adult : 18-20 Paediatric: 22-24 Neonate: 24-26



New blood transfusion set for every unit of blood.

Infusion pump for paediatric patients, if not available Solu-set infusion with FILTER.

2 RN’s or RN together with a Physician will verify pt’s identity

Blood products shouldn’t stored in unit refrigerator

Check V/S Used NSS for priming If not started immediately, return to blood bank.



Patient Identification before starting transfusion Compare pts data in BT request Confirm ABO & Rh compatibility by

comparing/checking: The bag label Expiration date Satisfactory serology testing Physician’s order sheet BT request form

The physician’s check the blood & request form & affix stamp & signature on the BT request before commencing transfusion.



Initiation: Inform & explain the procedure as well as desired

outcome Obtain & record baseline V/S Hold if 38 degree Inspect abnormal color, cloudiness, clots and present of

air. Check the expiration date written on the bag Start infusion at 2ml/min Stay with the pt for the 1st 15-30mins. Increased according to prescribed rate Check V/S for the 1st 15mins. Check Pulse 30mins., BP

hourly, temp. 2 hourly Report signs of reaction immediately.



Transfusion Reaction Response: Stop BT immediately Change tubing and start Infusion NSS Notify physician, Nsg. Supervisor Check & Verify identification Monitor & record V/S Obtain blood sample from pt & distribute withdrawn

sample to the ff. tubes to be sent to Hematology, Chemistry & Blood Bank

Collect urine specimen Send blood bag with infusion set to Blood Bank with

blood sample Document Initiate and write OVR

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Administration & Calculation Of Drugs, Iv Fluids

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