marken owens's blog : What Are the Benefits of a Push IV?
There are situations in healthcare when medication needs to be given very quickly. For example, patients in emergency health conditions like heart attacks or anaphylactic allergic reactions may need their lifesaving medication delivered as soon as possible. This is when a Push IV is used.
A Push IV is a type of intravenous treatment that involves using a syringe to send fluid directly into a client’s bloodstream, instead of through an IV bag. The procedure typically takes less than 30 seconds and is primarily used in emergency health situations. For example, a medical professional would use an IV push to inject drugs such as adenosine or atropine into a client who is experiencing a severe cardiovascular event.
The benefits of a Push IV are that the medication is administered more rapidly than an IV infusion, and that it has a higher dose-per-unit ratio than a standard drip. It can also be used to deliver nutrients and vitamins into the body quickly, which can help with energy, immune function and more.
However, there are several risks associated with IV push medications, including the potential for complications resulting from incorrect injection technique and poor product labeling. IV site infections are also a concern with this type of medication administration, and the need for proper IV access is important. The diluent used for this type of medication is also important. Incorrect dilution can lead to a variety of problems, including phlebitis and infiltration.
In addition, nurses who prepare and administer IV push medications need to be aware of the potential for adverse drug events. These can be due to improper handling, preparation or administration of the medication, and can be particularly dangerous for high-acuity clients with comorbidities. Nurses must also be mindful of the risks associated with reusing IV tubing or using the same tube for multiple medications, and should always follow agency policies and PDTM guidelines when preparing and administering IV medications (Alberta Health Services, 2009).
As with all medication administration, it is important to adhere to the five rights of medication administration when delivering Push IV treatments. In addition, nurses should be able to describe the medication they are preparing and administering to their coworkers, and should carefully select an appropriate IV site for the client. They should also be able to accurately record the date, time and location or site of the IV medication administration in the client’s EHR. Then, when the client is finished with the IV, the nurse should carefully remove it and wash their hands as usual. Then, the nurse should be ready to go back to work and start helping other clients.
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