Maricopa Community Colleges  NCE174   19944-20086 
Official Course Description: MCCCD Approval: 07/22/08
NCE174 19944-20086 LEC 3 Credit(s) 3 Period(s)
LPN-IV Medication Skills
Objectives and terms related to intravenous therapy. Includes drug response factors, dosage calculations, IV site dressing change, IV administration equipment, documentation and procedures for laboratory check lists.
Prerequisites: Current license as Practical Nurse or permission of Instructor.
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MCCCD Official Course Competencies:
 
NCE174   19944-20086 LPN-IV Medication Skills
1. Define key terms related to intravenous therapy, list objectives and explain the advantages and disadvantages of IV therapy. (I)
2. Explain drug response factors including incompatibilities/interactions and list the rights of drug administration. (I)
3. Identify the anatomy and physiology of the skin and locate four structures of a vein and identify location of vein of the upper extremity and torso. (II)
4. Explain homeostasis, three major organs affecting homeostasis and list functions of electrolytes. (II)
5. Write the abbreviations for math factors utilized in dosage calculations. (III)
6. Calculate volume and dosage needed to give a prescribed dose. (III)
7. Define terms, identify symptoms and list nursing interventions for local and systemic complications related to intravenous therapy. (IV)
8. Identify signs/symptoms of adverse drug reactions, list specific emergency interventions and explain the necessary reporting and documentation for adverse reactions. (IV)
9. Define specific terms related to IV administration equipment. (V)
10. Describe the procedures for administration of IV piggyback medications using continuums flow tubing, peripheral well and secondary line with established primary line. (V)
11. List specific nursing approaches for emotional support of IV therapy patients and specific nursing approaches for uncooperative patients. (VI)
12. Identify principles of nursing care of pediatric patients and the geriatric patients undergoing IV therapy. (VII)
13. State factors that determine the IV site dressing change schedule and describe the care of infusion sites and describe a peripheral well flush. (VIII)
14. List the specific elements of documenting IV therapy and document specific procedures accurately. (IX)
15. Describe procedures for specific laboratory check lists including care of infusion site, piggyback administrations and discontinuance of IV infusion. (X)
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MCCCD Official Course Outline:
 
NCE174   19944-20086 LPN-IV Medication Skills
    I. Intravenous Therapy Overview
        A. Key terms and definitions
        B. Objectives
        C. IV route
          1. Advantages
          2. Disadvantages
        D. Drug response factors
          1. Incompatibilities
          2. Interactions
        E. Drug/admixture stability
        F. Rights of drug administration
        G. Modes of intravenous administration
      II. Skin, Anatomy, and Physiology, Homeostasis and Electrolytes
          A. Anatomy and physiology
            1. Skin
            2. Veins
            3. Cardiopulmonary system
          B. Electrolytes
          C. Homeostasis
        III. Dosage and Solutions
            A. Terms and abbreviations
            B. Equivalencies
            C. Calculations
              1. Volume
              2. Dosage
          IV. Complications of IV therapy
              A. Local and systemic complications
                1. Terms
                2. Symptoms
                3. Interventions
              B. Contamination and infections
              C. Adverse drug reactions
                1. Signs and symptoms
                2. Emergency interventions
                3. Reporting and documentation
            V. IV Equipment
                A. Specific terms
                  1. Gauge
                  2. Length
                  3. Lumen
                  4. Minidrip
                  5. Macrodrip
                  6. Y set tubing
                  7. Electronic infusing devices
                  8. Other
                B. Piggyback medications
                  1. Continuums flow tubing
                  2. Peripheral well
                  3. Secondary line/established primary line
                C. Flow rate
                  1. Factors altering
                  2. Hazards
                  3. Calculations
              VI. Psychological - client preparation
                  A. Patient factors
                    1. Anxiety
                    2. Psychosocial resources
                    3. Effects of stress
                  B. Nursing approaches
                    1. Emotional support
                    2. Uncooperative patient
                VII. Pediatric and Geriatric Patients
                    A. Pediatric
                      1. Pediatric fluid/electrolyte balance
                      2. Nursing care
                    B. Geriatric
                      1. Differences - age
                      2. Psychological
                      3. Risks
                  VIII. Site Dressing and Peripheral Well Flush
                      A. Site dressing change
                        1. Purpose
                        2. Factors - schedule
                        3. Complications on site
                        4. Care
                      B. Peripheral well flush
                        1. Purpose
                        2. Factors - schedule
                    IX. Documentation
                        A. Elements
                        B. Procedures
                      X. Laboratory Check Lists
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