Speed Shock- systemic reaction that occurs when IV medication is administered too ________________, causing blood levels of medication to rise to possibly toxic levels.
Manifestations – chest pain or discomfort, light headedness, palpitations, tachycardia
Shock and cardiac arrest can occur if condition is untreated
Treatment: ___________ administering med, change IV fluid to _______________ solution, notify provider, treat effects and monitor vital signs
Prevent: use IV pump to administer IVPBs, administer bolus (IV push) over at least 1 minute, dilute bolus meds as required, administer bolus at a safe rate
Fluid Overload – fluid administered ______________ than patient can tolerate
Manifestations: shortness of breath, intake ____________ than output, _____ B/P, _______ HR, _______ RR, crackles in lungs, neck vein distention, extremity edema
Treatment: ___________ rate of infusion, raise HOB, administer O2 as prescribed, Notify provider. Anticipate prescription for _______________. Closely monitor vital signs.
Allergic Reactions- occurs when person is _________________ to med
Mild to moderate reaction: generalized rash, hives, vesicles, pruitis, edema, rhinitis, excessive tearing, nausea, vomiting, diarrhea, wheezing, dyspnea; Treatment- ____________ infusion, replace IV tubing, infuse _____________ and call provider.
Severe reaction- feeling apprehension/weakness, generalized itching, hives can quickly appear followed by erythema and angioedema of eyes, _________, & tongue. Respiratory distress, increased mucus production, ____ B/P, ______ HR, diaphoresis.