Giving IV Push

Before anything else, one must remember rights when it comes to Medication Administration:

  • Right drug
  • Right route: Is the drug appropriate for IVP administration?
  • Right dose: Is the dose appropriate for IVP administration?
  • Right time: Not only is the time for administration correct, but how fast can the medication be delivered IVP
  • Right patient
  • Right documentation
  • Right approach
IV push medication administration

1. Look up the medication

  • The usual information – action, dose, side effects, reason that the patient is receiving the medication, route, etc.
  • Does the medication need to be diluted? If yes, what can it be diluted with and how much?
  • How fast can the medication be administered IVP? A frequent rate is 1 ml/min, but varies with the medication
  • If the patient is receiving a maintenance IV solution, are the IVP medication and IV solutioncompatible?

2. Gather equipment: Medication, vial access pin, diluting solution if needed, syringes (size needed for accurately measuring the medication and size needed for administration if dilution needed), flush solutions if needed.

When giving IVP with running maintenance IV solution (compatible with medication):
  • Give a small amount of the medication while pinching the IV tubing above the administration site
  • Un-pinch the IV tubing to allow a small amount of the maintenance IV solution to infuse
  • Repeat clamping, administering, and unclamping until all of the medication has been administered over the appropriate time
Giving IVP medication through intermittent device:
  • You need to be aware of the volume of the tubing from where the medication is injected until it would actually reach the patient.
  • You may administer the same volume of medication as the tubing at the same rate as the flush is given, then begin the incremental administration
  • In this example, with the Baxter extension site, you can administer 1.3 ml before the medication will reach the patient. Since less than 1 ml is being given, all of the medication will be in the extension tubing

NOTE: You must administer the same amount of flush solution as the tubing holds at the same rate as the medication is to be given

  • In this situation, since this Baxter extension set contains 1.3 ml, all the medication is in the tubing – NONE has reached the patient yet. Give 1.3 ml of flush solution at the rate the medication is to be given, then give the rest of the flush.