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Intravenous Bolus Procedure

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Hitanshi Thakur

An intravenous bolus involves rapidly administering a concentrated dose of medication directly into the bloodstream over a short period of time, usually 1 to 30 minutes. It is used when quick absorption of the medication is needed but not for patients with low cardiac output or edema. Proper preparation of the nurse, environment, equipment and patient is required to safely administer an IV bolus. Potential complications include local issues like infiltration or thrombosis at the injection site as well as systemic issues such as air embolism, hematoma, infection, circulatory overload, or allergic reaction.

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INTRAVENOUS BOLUS
INTRODUCTION • A relatively large dose of medications are administered into the vein in a short period usually 1 to 30 minutes • The IV bolus is not used for patients who have decreased cardiac output or systemic edema • The IV bolus is commonly used when rapid administration is needed
DEFINITION • An IV bolus involves introducing a concentrated dose of a drug directly into the systemic circulation • IV bolus may be given directly into a vein into an existing IV line through an injection port or through a saline or heparin lock
INDICATIONS • It provides control of over dosage • For quick administration of medication • For patients who DO NOT like to take medications orally • For quick absorption of medication
CONTRAINDICATION • An iv bolus should never be given if the insertion site appears puffy or edematous • If the fluid from the connecting iv line cannot flow at a proper rate • When the iv line is not in place • When the medication is oilly or thick in substance it should not be given through push
PREPARARTION OF ARTICLE, NURSE, ENVIRONMENT AND PATIENTPREPARATION OF ARTICLES .Syringe 10 ml .Iv push existing line .Vial or ampule of medication .Sterile needle (21 or 25 G) .Alcohol swab (wet cotton) .Clean gloves .Paper bag .Kidney tray .Medication card .Syringe tray .Label for medication .Posiflush
PREPARATION OF NURSE
PREPARATION OF NURSE CONTINUED… • CHECK DOCTORS ORDER. • COLLECT ALL THE ARTICLES FOR THR PROCEDURE. • PERFORM HAND HYGIENE.
PREPARATION OF PATIENT
PREPARATION OF PATIENT CONTINUED • EXPLAIN THE PROCEDURE TO THE PATIENT. • PROVIDE COMFORTABLE POSITION. • PROVIDE MORAL SUPPORT.
PREPARATION OF ENVIRONMENT
PREPARATION OF ENVIRONMENT CONTINUED • ENSURE ADEQUATE LIGHT AND VENTILATION. • PROVIDE PRIVACY. • KEEP THE UNIT CLEAN. • KEEP THE CARDIAC TABLE NEAR TO THE PATIENTS BEDSIDE FOR EASY ACCESS.
VIP SCORE
COMPLICATION • Local : infiltration extravarationt/ thrombosis • Systemic : embolism of air hematoma systemic infection circulatory overload allergic reaction
Intravenous Bolus Procedure

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Intravenous Bolus Procedure

  • 2. INTRODUCTION • A relatively large dose of medications are administered into the vein in a short period usually 1 to 30 minutes • The IV bolus is not used for patients who have decreased cardiac output or systemic edema • The IV bolus is commonly used when rapid administration is needed
  • 3. DEFINITION • An IV bolus involves introducing a concentrated dose of a drug directly into the systemic circulation • IV bolus may be given directly into a vein into an existing IV line through an injection port or through a saline or heparin lock
  • 4. INDICATIONS • It provides control of over dosage • For quick administration of medication • For patients who DO NOT like to take medications orally • For quick absorption of medication
  • 5. CONTRAINDICATION • An iv bolus should never be given if the insertion site appears puffy or edematous • If the fluid from the connecting iv line cannot flow at a proper rate • When the iv line is not in place • When the medication is oilly or thick in substance it should not be given through push
  • 6. PREPARARTION OF ARTICLE, NURSE, ENVIRONMENT AND PATIENTPREPARATION OF ARTICLES .Syringe 10 ml .Iv push existing line .Vial or ampule of medication .Sterile needle (21 or 25 G) .Alcohol swab (wet cotton) .Clean gloves .Paper bag .Kidney tray .Medication card .Syringe tray .Label for medication .Posiflush
  • 8. PREPARATION OF NURSE CONTINUED… • CHECK DOCTORS ORDER. • COLLECT ALL THE ARTICLES FOR THR PROCEDURE. • PERFORM HAND HYGIENE.
  • 10. PREPARATION OF PATIENT CONTINUED • EXPLAIN THE PROCEDURE TO THE PATIENT. • PROVIDE COMFORTABLE POSITION. • PROVIDE MORAL SUPPORT.
  • 12. PREPARATION OF ENVIRONMENT CONTINUED • ENSURE ADEQUATE LIGHT AND VENTILATION. • PROVIDE PRIVACY. • KEEP THE UNIT CLEAN. • KEEP THE CARDIAC TABLE NEAR TO THE PATIENTS BEDSIDE FOR EASY ACCESS.
  • 14. COMPLICATION • Local : infiltration extravarationt/ thrombosis • Systemic : embolism of air hematoma systemic infection circulatory overload allergic reaction