Post on 15-Apr-2017
How To Mix Angiomax &
Administer During a PCINUR 5303
Lauren GomezApril 10, 2016
LCU MSN Program
OBJECTIVES:
Mix Angiomax vial with sterile water Inject Angiomax into 50 ml bag of D5W Prime IV tubing Start Administration of Angiomax
Angiomax vial, 10ml vial of Sterile Water, and 50 ml bag of D5W from the Pyxis.
10ml syringe and blunt needle IV Tubing Set IV Pump
STEP 1 Gather Supplies
Step 2 Attach blunt tip needle to 10ml syringe Open sterile water vial and insert needle with
attached syringe into vial Draw up 5ml’s of sterile water into syringe Take lid off of Angiomax vial and insert needle with
syringe with 5ml’s of sterile water into Angiomax vial and slowly swirl until all contents are dissolved
Using the same needle and syringe draw up contents from the Angiomax vial that was just mixed
STEP 3 Grab the 50ml bag of D5W Take off the cap to the D5W bag and insert needle with
syringe that has the mixed Angiomax solution and inject into the D5W bag.
Gently agitate D5W bag to ensure mixture of solution Retrieve IV Tubing and ensure roller clamp is closed Take off foil cover on D5W bag and insert IV tubing
spike into 50ml bag of D5W now mixed with Angiomax and hang on IV pump.
Fill upper chamber of IV tubing halfway before priming tubing & ensure that roller clamp is still closed
STEP 4 Invert the IV tubing prior to the roller clamp while priming to
help aid in minimizing air bubbles. Open the roller clamp and allow the Angiomax to prime the
IV tubing. Once the Angiomax has passed the filter part of the tubing it
does not need to be inverted and the rest of the tubing can be primed until Angiomax reaches the end of the tubing.
Hook the tubing up to the patient’s IV access
START THE ANGIOMAX ON THE PUMP
All Pumps are different however when putting on the pump follow the guardrail instructions and double check to make sure it is the same concentration that you have just mixed
Enter the patient’s weight in kilograms and the pump should prompt you to the correct next steps for successful administration of Angiomax to your patient during a PCI during an Angiogram.
CLOSURE:
Gather supplies Mix Angiomax Prime Tubing Connect to Patient Start Administration via IV Pump based on Patient’s kilograms
REFERENCES Angiomax (bilvalirudin) for injection. Retrieved April 10, 2016 from
http://www.angiomax.com