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Parenteral Nutrition
Required Reading Thompson, Chapters 7, 32, 33
Objectives:
IV Admixture
1. Compare the mechanisms and utility of
o Laminar Flow Hood
. Identify
Numerous manipulations
Multiday infusions or pumps
Automated Total Parenteral Nutrition
Buffer Room Class 10,000
30 hours room temp, 7 days cold storage
High Risk II (HRII)
o
o
Wipe from the back to the front in a long, smooth and continuous motion
6. Must work at least 6 inches into hood
7. Spread supplies out with thought
Make sure and maximize the number of surfaces exposed
e.g. turn needle into flow of air. Turning needle against air flow
11.
Withdraw product
With an even pressure on the flat end of the plunger and resistance on the
top collar.
Pay attention to the fluid level in the vial; drawing vial liquid not the vial
air
Since atmospheres have been equalized can push fluid in and pull fluid
out w/o consequence.
1. Recognize syringe and needle differences and be able to choose an appropriate syringe
and needle for a given procedure.
o
Injecting 8mL sterile water into vial to remove 2mL solution choose the
10mL syringe
E.g using a 20mL will increase error factor as the 20mL will not
be as accurate when drawing a 2 and 8mL volume as compared
to a 10mL syringe
Needles distinguished by length and gauge, with various sizes for various routes
Intradermal
Subcutaneous
25-28 gauge
3/8 to 5/8 length
Syringe 0.02-0.5mL
30-32 gauge
1/2 to 5/8 length
Syringe 1-3 mL
20-22 gauge
Intramuscular 1/2 to 1-1/2 length
Syringe up to 5mL
Intravenous
o
20-22 gauge
1/2 to 1-1/2 length
Syringe up to 60mL
Needle
MicroMedix
United States Pharmacopoeia/National Formulary (USP/NF);
American Hospital Formulary Service;
Trissel's Handbook on Injectable Drugs
King's Guide to Parenteral Admixtures
o
o
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Solvent
Administration Rate
Prep Date/Signature
Check Date/Signature
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o
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Exercises:
IV Admixture
1. Calculate the volumes of solutions you will need to prepare the assigned IV order.
Write out your calculations on the IV order.
2. Prepare the assigned IV order using aseptic technique. Have the TA or instructor
observe your technique and check your calculations.
3. Prepare a complete label for the finished product and attach it to the IV order.
4. Write your name on the order and turn it in to your instructor.