A protocol for pediatric IV meds.
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Biomedical subjects
S E Axton
Publications and source records attributed to S E Axton.
Comparison of brachial and calf blood pressures in infants.
PURPOSE: To compare brachial and calf blood pressures in infants under one year of age using the same size blood pressure cuff. METHODOLOGY: A convenience sample of 79 infants ages 4-300 days was selected from the General Pediatric, Pediatric Special Care, and Pediatric Intensive Care units in an acute care hospital located in the southern United States. Difference between brachial and calf blood pressures were compared using a paired t-test and defining the range of difference for 95% of the sample. RESULTS: There was no statistically significant difference in brachial and calf blood pressure measurements when assessed by paired t-test. The range of difference for 95% of the sample merits further clinical attention. CONCLUSION: Calf blood pressure measurements can be assessed routinely on infants under one year of age but it is important to consistently compare calf pressures to calf pressures and brachial pressures to brachial pressures.
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An innovative method of administering i.v. medications to children.
Intravenous medications, especially antibiotics, should be infused in a timely fashion, with minimal irritation to the vessel, with the least chance of infiltration, and without causing fluid overload. Nurses at one institution were concerned that the method they were using was not fulfilling these desired outcomes. Medications were not consistently being administered within the appropriate time frame (usually 30 to 60 minutes) and the possibility of fluid overload existed. Time that nurses spent administering and checking on the medication was excessive. After reviewing alternative methods, nurses implemented a method that uses syringe tubing. Advantages, disadvantages, and a guideline for use are described.
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