Lorazepam (Ativan) is ordered to be given through the intravenous route for a client with status epilepticus. The client currently has an intravenous infusion of dextrose 5% and 0.9% normal saline at the rate of 125 mL/hr
Which action demonstrates the correct administration of this medication by the nurse?
1. Administering Ativan by slow IV injection over a 2- to 4-minute period.
2. Injecting the Ativan quickly via IV push.
3. Discontinuing the intravenous infusion prior to administering the medication.
4. Mixing the Ativan in a 50cc bag of NS and administering piggyback over 30 minutes.
Correct Answer: 1
Rationale 1: Ativan should be administered over a 2- to 4-minute period when given via IV push.
Rationale 2: Rapid IV administration can result in apnea, hypotension, bradycardia, or cardiac arrest.
Rationale 3: The intravenous infusion does not need to be discontinued prior to administering the medication.
Rationale 4: Giving Ativan over 30 minutes would not benefit the client who needs immediate treatment for status epilepticus.
Global Rationale: Ativan should be administered over a 2- to 4-minute period when given via IV push. Rapid IV administration can result in apnea, hypotension, bradycardia, or cardiac arrest. The intravenous infusion does not need to be discontinued prior to administering the medication. Giving Ativan over 30 minutes would not benefit the client who needs immediate treatment for status epilepticus.
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