Scribd Logo
Upload

Welcome to Scribd!

  • 27 views

    Administering Cytotoxic Drug by Bolus Injection

    Uploaded by

    Erika Gusi
    This document provides guidelines for administering cytotoxic drugs via bolus injection. It outlines steps for assessing the patient's condition, ensuring the IV line is properly placed and functional, verifying the prescription and consent, preparing supplies, and administering the drug while taking precautions to protect from contamination. The nurse is instructed to wash hands, don PPE, administer the bolus injection using proper technique, flush the line, and document the procedure and any effects for accurate record keeping.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Administering Cytotoxic Drug by Bolus Injection

    Uploaded by

    Erika Gusi
    27 views2 pages
    This document provides guidelines for administering cytotoxic drugs via bolus injection. It outlines steps for assessing the patient's condition, ensuring the IV line is properly placed and functional, verifying the prescription and consent, preparing supplies, and administering the drug while taking precautions to protect from contamination. The nurse is instructed to wash hands, don PPE, administer the bolus injection using proper technique, flush the line, and document the procedure and any effects for accurate record keeping.

    Original Title

    ADMINISTERING CYTOTOXIC DRUG BY BOLUS INJECTION

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document provides guidelines for administering cytotoxic drugs via bolus injection. It outlines steps for assessing the patient's condition, ensuring the IV line is properly placed and functional, verifying the prescription and consent, preparing supplies, and administering the drug while taking precautions to protect from contamination. The nurse is instructed to wash hands, don PPE, administer the bolus injection using proper technique, flush the line, and document the procedure and any effects for accurate record keeping.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    27 views2 pages

    Administering Cytotoxic Drug by Bolus Injection

    Uploaded by

    Erika Gusi
    This document provides guidelines for administering cytotoxic drugs via bolus injection. It outlines steps for assessing the patient's condition, ensuring the IV line is properly placed and functional, verifying the prescription and consent, preparing supplies, and administering the drug while taking precautions to protect from contamination. The nurse is instructed to wash hands, don PPE, administer the bolus injection using proper technique, flush the line, and document the procedure and any effects for accurate record keeping.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 2

    ADMINISTERING CYTOTOXIC DRUG BY BOLUS INJECTION

    1. Assess for patient’s overall condition which include the height, weight and any presence of
    dehydration, anxiety, dizziness, nausea and vomiting to determine the appropriate dosage of the
    drug and nursing management.
    2. Check if there is backflow of blood in the IV-line site and if it is free from pain, redness and swelling
    and the cannula is not dislodged. To ensure that it is patent and ready for the treatment.

    Planning

    1. Check that prescription is written clearly, if the doctor has reviewed the laboratory test and if
    necessary, clarify with the prescribing doctor. To ascertain whether the client fits the treatment
    while also observing the rights of patient in drug administration.
    2. Check if the patient has signed the consent form. This is done as respect for the right of the client in
    making appropriate decision for his health.
    3. Check out that the appropriate antiemetics have been prescribed and administered. To ensure that
    all medical interventions are ordered by the attending physician and that the flow of the procedure
    follows the institution’s guidelines.
    4. Check whether the drugs to be administered include vesicants or non-vesicants. Never administer a
    cytotoxic drug without knowing the information. This is to determine appropriate interventions and
    considerations specially when administering vesicant drugs.
    5. Check for the, the date of administration, name of the drug and infusion fluid, the dosage of the
    drug, prescribed volume, and name of patient that are necessary in observing the rights of patient in
    drug administration.
    6. Gather all the equipment and supplies needed for the procedure such as, normal saline, syringes,
    ppe, gloves, masks, goggles, antiemetic drug, alcohol swab, iv administration set, iv cannula, iv tray
    with the prepared cytotoxic drug and sterile gauze.

    IMPLEMENTATION

    7. Wash hands to prevent spread of microorganism, don ppe to protect the nurse from the cytotoxic
    drug.
    8. Remove the chemotherapeutic drug from the bag and place in foil container to protect drug from
    light exposure which may affect its potency.
    9. Flush the IV line with normal saline to check for the patency of the iv line and to determine whether
    the vein will accommodate the extra fluid flow and irritant drugs.
    10. Infuse the compatible flush to IV access to promote continuous flow of the drug and to avoid
    irritation during the administration. Ensure that infusion of compatible fluid is fast running.
    11. Using the non-touch technique, swab access device to avoid contamination of self-from the drug.
    12. Place the gauze under the side port and swab with alcohol swab to reduce the number of pathogens
    introduced by the needle.
    13. Connect the syringe with the drug to the access port using luer-lock syringe to prevent the leakage
    or separation, which may occur due to pressure during administration resulting in spray and
    contamination.
    14. Administer the drug into the fast-running infusion using a steady positive technique to promote
    continuous flow of the drug and to avoid irritation during administration.
    15. Once the bolus has been administered, flush with compatible flushing solution to prevent the drug
    interaction. To prevent leakage of drug from the puncture site, on removal of the device.

    Evaluation

    1. Ensure that the chemotherapy prescription has been sign with the date. Document the drug
    administration and any adverse effects in the chart to maintain accurate records and to provide
    point of reference in any point of concerns.

    You might also like