Unit 7- Administer IV Meds Through Drug-Infusion Lock

Which client would be an ideal candidate for receiving IV medication through a drug infusion lock?

A client who is receiving medication for pain every four hours.

The nurse is preparing to give an IV medication to a client through a drug-infusion lock. Which action would the nurse perform to ensure the right client receives the medication?

Ask the client to state his or her name and birth date.

The nurse is injecting medication into the port of a drug-infusion lock. Which action would the nurse take to ensure that the catheter is in the vein?

Aspirate gently for a blood return.

Before administering an IV medication through a drug-infusion lock, the nurse fails to get a blood return upon aspiration. Which is a sign that infiltration has occurred at the site?

Edema

The nurse is assessing a client following the administration of an antibiotic via the client's drug-infusion lock. How often would the nurse check the drug-infusion lock site?

Every eight hours.

The nurse removes the medication syringe from the port and inserts the syringe of normal saline into the port. Why should the nurse gently flush with the saline?

Gently flushing ensures that the medicine remaining in the extension tubing is not administered faster than the rest of the medication.

The nurse is administering an IV medication to a client through a drug-infusion lock and meets resistance when injecting the medication. Why would the nurse not use force to finish the injection?

It may cause a blood clot to break off and lodge elsewhere in the body.

The nurse is preparing to administer a bolus of IV pain medication through a drug-infusion lock. Before flushing the lock with saline, there is no blood return with aspiration. What would be the initial recommended nursing intervention in this situation?

Reassess the IV site for any infiltration or inflammation.

The nurse is administering an IV analgesic to a client through a drug-infusion lock. Which would be important for the nurse to obtain when gathering equipment for this procedure?

Saline.

The nurse is administering an IV medication to a client through a drug-infusion lock. What action would the nurse perform immediately after cleaning the access port of the drug-infusion lock with an antimicrobial swab?

Stabilize the port with the non-dominant hand and insert the syringe of normal saline into the access port.

The nurse is administering a medication through a medication infusion lock and observes that the client is experiencing pain. Which should the nurse do to stop the pain for the client?

Stop the administration of medication, assess the site, and flush the medication lock.

The nurse is preparing an IV antibiotic medication to administer to a client through a drug-infusion lock. When would the nurse perform the "third check" of the label?

When prepared before giving it to the client.