IV push

From WikiMD's Food, Medicine & Wellness Encyclopedia

Intravenous Push (commonly referred to as IV Push) is a method of intravenous therapy in which a syringe is directly connected to an intravenous catheter to administer medications or nutrients directly into the bloodstream. This technique allows for rapid delivery of medication, making it a critical procedure in emergency situations or when immediate drug action is required.

Overview[edit | edit source]

The IV Push method involves the manual injection of a medication into the patient's bloodstream via an existing IV line or a newly established line. This method is preferred for drugs that need to be delivered quickly or when the precise control over the timing of medication is necessary. Unlike IV infusion, which introduces medication into the bloodstream over a longer period, IV Push delivers a single dose all at once.

Indications[edit | edit source]

IV Push is indicated in various clinical scenarios, including but not limited to:

  • Emergency situations where rapid onset of medication action is required.
  • Administration of medications with short half-lives.
  • Situations where precise dosing is critical.
  • Administration of contrast media for certain diagnostic imaging procedures.

Procedure[edit | edit source]

The procedure for administering an IV Push involves several steps to ensure safety and efficacy:

  1. Verification of the medication order by a healthcare professional.
  2. Preparation of the medication, adhering to aseptic techniques.
  3. Assessment of the IV site for patency and signs of infection.
  4. Connection of the syringe to the IV line, followed by slow injection of the medication.
  5. Flushing the line with saline solution to ensure the full dose reaches the bloodstream.

Complications[edit | edit source]

While IV Push is generally safe, complications can occur, including:

  • Phlebitis or inflammation of the vein.
  • Infiltration, where medication leaks into the surrounding tissue.
  • Air embolism, if air is introduced into the bloodstream.
  • Allergic reactions to the administered medication.

Training and Competency[edit | edit source]

Healthcare professionals administering IV Push medications must have specific training and demonstrate competency in IV therapy, pharmacology, and the recognition and management of potential complications.

Conclusion[edit | edit source]

IV Push is a vital administration technique in healthcare, offering the advantage of rapid medication delivery. However, it requires careful execution and monitoring by trained healthcare professionals to minimize risks and ensure patient safety.


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Contributors: Prab R. Tumpati, MD