MPN 1030 - Administration of Medications and Basic IV

Compute dosage calculations related to pediatric medication administration (i.e. mg/kg/dose).

Discuss the administration of medications to the geriatric client.

1. Describe how pharmacokinetic change during aging and why medications may affect the elderly differently.
2. Identify factors increasing the risk of medication-related problems.
3. Discuss how responses to medications are less predictable in an older person.
4. Identify common drugs used in geriatrics and their common side effects.

Discuss important nursing concepts in relation to the process of venipuncture.

1. Discuss important aspects of patient preparation for insertion of an intravenous (IV) cannula.
2. Compare and contrast the characteristics between veins and arteries.
3. Identify advantages and disadvantages of selecting each hand or arm vein for intravenous (IV) therapy.
4. Contrast characteristics and uses of the various venipuncture devices.
5. Describe the clinical sequences for a successful intravenous (IV) cannulation.

Display knowledge of nursing practice in relation to infusion therapy.

1. Be knowledgeable of the state nurse practice act as it relates to intravenous (IV) therapy.
2. Describe the sequential steps for administration of intravenous (IV) infusion solutions.
3. Discuss the safety recommendations that reduce exposure to needlestick injuries and exposure to patient body fluids during intravenous (IV) therapy.
4. List the factors that interfere with the delivery of accurate IV flow rates by gravity infusion and the interventions that promote accurate infusion delivery.
5. Verbalize the nursing strategies that prevent intravenous (IV) therapy-related problems.
6. Identify requirements for documentation of intravenous (IV) infusions.

Discuss client care and nursing practice of practical nurses in relation to central venous catheters.

1. Describe the types and features of central venous catheters (also called central lines or CVLs).
2. Identify the major complications associated with central venous access devices: air embolus, fibrin sheath, occlusion sepsis, and superior vena cava syndrome.
3. Be knowledgeable of the state nurse practice act as it relates to central venous catheters.

Discuss client care and nursing practice of practical nurses in relation to peripherally inserted central catheters.

1. Describe the types and features of the peripherally inserted central catheters (also called PIC catheters or PICCs).
2. Identify the major complications associated with PICCs.
3. Be knowledgeable of the state nurse practice act as it relates to peripherally inserted central catheters.

Discuss why and when intravenous (IV) fluid therapy is needed and the components of how the correct fluid type is selected.

1. Name the two major fluid compartments in the body.
2. Discuss the processes by which fluid balance is maintained.
3. Identify important measures of electrolyte balance.
4. Summarize the differences between isotonic, hypotonic, and hypertonic solutions.
5. Recognize clinical features for fluid volume deficit and fluid volume excess.
6. Understand the difference between fluid replacement and fluid maintenance in relation to IV fluid therapy.

Demonstrate knowledge of intravenous (IV) medication administration and the practical nurse’s scope of practice.

1. Verbalize the sequential steps for intravenous (IV) drug administration.
2. Identify critical elements of therapeutic drug monitoring when the drug is administrated intravenously.
3. List immediate actions to be taken in the event of an adverse drug reaction.
4. Discuss the advantages and disadvantages of various routes of intravenous (IV) drug administration.
5. Describe features that differ among intravenous (IV) infusion pumps.

Demonstrate knowledge of blood and blood component administration and the practical nurse’s scope of practice.

1. Recognize potential signs and symptoms for acute hemolytic transfusion reaction.
2. Describe the nursing management process for blood and blood product transfusion reaction.

Demonstrate knowledge of total parenteral nutrition (TPN) administration and the practical nurse’s scope of practice.

1. Describe the indications and contraindications of total parenteral nutrition.
2. Discuss the components of a nutritional assessment.
3. Recognize the common diagnostic laboratory values used to monitor TPN.
4. Identify the potential complications of TPN.