A patient has been prescribed 100 mg of iron dextran IV push daily for 5 days. How should the nurse prepare to administer this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Give a test dose of 25 mg slow IV push.
2. Plan on giving the medication over 10 to 15 minutes.
3. Dilute the iron is 20 mL of D5W prior to administration.
4. Report any patient complaint of nausea during or just after the injection.
5. Observe the patient for anorexia.
1,4
Rationale 1: A test dose of 25 mg slow IV push, followed by close observation for 1 hour, is necessary at the beginning of treatment.
Rationale 2: The medication can be given over 2 to 5 minutes.
Rationale 3: Diluting the iron in this amount of fluid is not required.
Rationale 4: Nausea is a significant side effect of parenteral iron therapy and should be reported.
Rationale 5: Parenteral iron therapy is not associated with anorexia.
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