Therapy Sheet: Primary IV (peripheral, central line, PICC) Type of IV* Site of IV insertion Primary fluid infusing/rate of infusion Antibiotics Antibiotic Drug amount/total cc/hr dose/hr fluids Infusion and continuous drips Drug Ordered Drug Drug cc/hr dose/min dose/hr dose amount/total amount/ fluids ml IV Sedation Drug Ordered Drug Drug cc/hr dose/hr dose amount/total amount/ml fluids Heparin Dose Rate Dose/ml Dose/min Dose/hr PCA Drug Bolus Lockout
Therapy Sheet: Primary IV (peripheral, central line, PICC) Type of IV* Site of IV insertion Primary fluid infusing/rate of infusion Antibiotics Antibiotic Drug amount/total fluids cc/hr dose/hr Infusion and continuous drips Drug Ordered dose Drug amount/total fluids Drug amount/ ml cc/hr dose/min dose/hr IV Sedation Drug Ordered dose Drug amount/total fluids Drug amount/ml cc/hr dose/hr Heparin Dose Rate Dose/ml Dose/min Dose/hr PCA Drug Bolus Lockout
nur4405-f18-revised.docx