Jump to content

Administering D50


akflightmedic

Recommended Posts

  • Replies 32
  • Created
  • Last Reply

Top Posters In This Topic

I will aspirate during D50 admin after half the amp, then push the rest. While continually monitoring the site for patency and infiltration. But 3 times seems a little much for me.

Oh and as well, pinching the line upstream from the med port then flushing with approx 20 mL after administration.

Link to comment
Share on other sites

Depends on the patient... if it is an older patient that appears not to need anymore fluid (Hx CHF, CRF etc...) no, I don't. What I ave found, so many attempt to "push so fast".. I do push some allow a little fluid, allow to dilute so it will not "burn" the vein.

R/r 911

Link to comment
Share on other sites

I will allow the fluid to run wide open, patient condition dependent of course, and push the dextrose just fast enough to allow the fluid to continue running while I'm administering the medication.

It can take quite some time to get the full 50 mL delivered in the case of small catheters, cold medication, etc. but the upside of less sclerosing of the vein is worth it.

Link to comment
Share on other sites

I have never heard of aspirating three times while administering D50. I was always taught that you check the line before administering the D50 and again after administering the D50.

Link to comment
Share on other sites

However I did witness an ER Doc push D50 through a 22g IV. It was really scary to watch. I left before the vein blew up.

I've done this before...push D50 through a 22g IV cath before. Was it ideal? Not really. Did the patient need it? You bet. Did the patient have any other access besides this tiny vein in her hand? Not on your life.

It was a very slow push. I kept an eye on the IV site for the duration of the push. The vein did not blow.

If you're careful and watch what you're doing it's not a big deal. If you can continue, then continue. If you have to stop, since you're watching closely, you stop.

-be safe

Link to comment
Share on other sites

This thread is quite old. Please consider starting a new thread rather than reviving this one.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


×
×
  • Create New...