Academic Day Seminar #5: Parenteral Drug Therapy

  • Parenteral Therapy: High risk route of administration
    • Lack 2 main protective system: skin and kidney
    • Most serious AEs compared to other routes
      ⇨ once in body, impossible to stop effect of drug
    • Pts on IV routes tend to be more critically ill and generally more fragile on it
  • Resources:
    • ISMP’s List of High-Alert Medications
    • Y-site compatability chart (Gen)
    • Y-site compatability chart (Crit care)
    • King Guide to Parenteral Admixtures:
    • LexiComp
  • How to access both Parenteral Drug Therapy Manuals
  • In my future rotations:
    • For my drug distribution, TPN and other rotations, if the opportunity arises to check parenteral therapy, consider potential for errors in calculation (dose and concentration), preparation errors (diluent and volume), administration errors (rate and period), catheter-related complications, infusion device programming errors
    • When deciding between routes, consider the complications of IV therapy. For patients on IV, monitor and check with nurses if patients experience any complications of IV therapy
    • When getting any information requests, gather background information:
      • Nurses’s name and contact
      • Location of patient
      • Type of line
      • Length of administration of medication
      • Medications (*Find out pH of medication)

All the lines we were able to see during our session! ☺image.jpeg