Airway: foreign body; swelling in trachea, larynx or airways; drowning,
Breathing: neurological (brain hemorrhage, increased ICP, spinal cord injury, guillian barre, myasthenia gravis), trauma to chest, pneumothorax, COPD, pneumonia, atelectasis, overdose causing respiratory depression, seizure
Circulation: cardiac failure; low Hgb,Hct; fluid overload or deficit; critical electrolyte imbalances esp. in renal failure; inadequately treated hypertension; cardiotonic or anticoagulant IV solutions
Disability: anything that can harm a person with physiological harm as per Maslow first consideration; potential suicide, loss of limb or eyesight, CIWA, infection, seizure or fall precautions, skin breakdown, psychological distress, pain, vomiting
Elimination: inability to void or control voiding; constipation, diarrhea
Food/Nutrition: assistance with eating, food selection
1. Medications which require close RN monitoring, assessment, or interpretation of data, or titration, for example: Potassium, i.e. concentration greater than 40 mEq/1000mL: thrombolytic, fibrinolytic, Parenteral nutrition (PN or TPN), vaso active drugs.
3. Blood, blood products, or plasma expanders, immunoglobulins, or auto transfusion.
4. Antineoplastic drugs
5. Investigative or research medications
6. Direct IV push except flushes (heparinized or saline)
7. IV Medications for procedural sedation/anesthesia or deep sedation
8 IV contrast
A. initiate, program, administer solutions or medications, repair, or remove the following devices:
1. Implanted infusion pumps
2. Intrathecal, epidural, umbilical, or ventricular reservoirs.
B. Insert, repair, or remove arterial and central catheters, including PICC lines.