The nurse is preparing to administer a prescribed dose of desmopressin acetate (DDAVP) intramuscularly (IM) to a child with diabetes insipidus. What action should the nurse take before drawing the medication into a syringe?
a. Mix the medication with sterile water.
b. Mix the medication with sterile normal saline.
c. Have another nurse double-check the medication dose.
d. Hold the medication under warm water for 10 to 15 minutes and then shake vigorously.
ANS: D
To be effective, vasopressin must be thoroughly mixed in the oil by being held under warm running water for 10 to 15 minutes and shaken vigorously before being drawn into the syringe. If this is not done, the oil may be injected minus the antidiuretic hormone. Small brown particles, which indicate drug dispersion, must be seen in the suspension.
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