SAMPLE IV PUSH ORDERS

For all medications, ask the following:

  • What is the medication’s classification? its purpose? (Why would your patient be receiving this medication?)
  • What is the primary IV solution? or Does the patient have a saline lock?
  • Is it compatible?
  • Do you need to flush before and after administration? How much flush solution?
  • How many ml of NS will be needed to dilute the medication?
  • What is the rate of administration of the specific drug?
  • What lab values need to be reviewed?
  • What part of V/S needs to be assessed?
  • Is the dosage appropriate for the patient?
  1. Metoclopramide (Reglan) 10 mg IVP now
  1. What are specific side / adverse effects to monitor for?
  2. What is the desired effect of this medication?
  3. What are specific teaching needs for the patient?
  1. Digoxin (Lanoxin) 0.125 mg. IVP now
  1. What needs to be assessed prior to administration?
  2. WHY?
  3. What are specific side / adverse effects to monitor for? What observations would cause the nurse to question the order?
  4. What is the desired effect of this medication? How would the nurse measure its effectiveness?
  5. What are specific teaching needs for the patient?
  1. Furosemide (Lasix) 40 mg. IVP now
  1. What needs to be assessed prior to administration?
  2. WHY?
  3. What are specific side / adverse effects to monitor for? What observations would cause the nurse to question the order?
  4. What is the desired effect of this medication? How will the nurse measure its effectiveness?
  5. What are specific teaching needs for the patient?
  1. Solu Medrol (SoluCortef)80 mg IVP now
  1. What are specific side / adverse effects to monitor for?
  2. What are the desired effects of this medication? How will the nurse measure its effectiveness?
  3. When would the nurse evaluate its effectiveness?
  4. What are specific teaching needs for the patient?
  5. How will this medication be discontinued?
  1. Phenytoin (Dilantin)100 mg. IVP now
  1. What needs to be assessed prior to administration of this medication?
  2. What are the specific side/adverse effects of this medication?
  3. What specific problem can occur with an extravasation?
  1. Morphine Sulphate 4 mg IVP now
  1. What needs to be assessed prior to administration of this medication?
  2. What are the specific side/adverse effects of this medication?
  3. What is the desired effect of this medication? How will the nurse measure its

effectiveness?

  1. When will the nurse evaluate its effectiveness?
  2. What are the specific teaching needs for the patient?

7. Meperidine (Demerol) HCl 25 mg IVP now

  1. What needs to be assessed prior to administration of this medication?
  2. What are the specific side/adverse effects of this medication?
  3. What is the desired effect of this medication? How will the nurse measure its

effectiveness?

  1. When will the nurse evaluate its effectiveness?
  2. What are the specific teaching needs for the patient?

N:Syllabus/Skills/RNSG 1229 /IVP Questions Reviewed 04/10

Reviewed 04/11

Reviewed 04/12