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Medication Administration - Endotracheal

Clinical Indications:

= ______ 1.      When medication administration is necessary and vascular access cannot be

esta= blished or = when the medication must be given via the endotracheal route.<= /p>

Procedure:

= ______ 1.      Rece= ive and confirm medication order or perform according to standing orders.<= /o:p>

= ______ 2.      Prep= are equipment and medication by expelling air from the syringe.

= ______ 3.      Atte= mpt to confirm allergies if possible.

= ______ 4.      Ensu= re proper tube placement and adequate oxygenation and ventilation of lungs.

= ______ 5.      Prep= are medication so that the dose is 2-2.5 times the IV dose.
= ______ 6.      Prep= are a 10 ml normal saline flush to follow medication administration.

= ______ 7.      Hype= rventilate patient.

= ______ 8.      Disc= onnect ventilation device from ET tube.

= ______ 9.      Inje= ct the medication into the ET tube followed by the normal saline flush.=

= ______ 10. Reco= nnect the ventilation device.

= ______ 11. Resu= me ventilations to circulate the medication.

= ______ 12. Moni= tor the patient for the desired therapeutic effects as well as any possible side effects.

= ______ 13. Docu= ment the medication, dose, route, time and patient response in the electronic PC= R.

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

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