Resources

Intravenous Antibiotic Therapy by Syringe (IV Push)

Intravenous antibiotic therapy using the direct method (syringe) consists of administering an antibiotic prepared in a syringe directly into the cap of your catheter over a prescribed period of time.

Img et forme

*Important note – Flushing with NaCl syringe:

  • It is important to flush the catheter using a pre-filled syringe of saline solution (NaCl).
  • The frequency of flushing may vary depending on your treatment — make sure to follow the specific instructions provided by your hospital team.
  • Before administering your medication, always take a moment to review the recommended flushing procedure for your situation.

*Important note – Administration of Heparin:

  • Some treatments require the administration of heparin. Your nurse will inform you if this step is required.
  • Follow your nurse’s recommendations regarding the frequency and sequence of use.

Medication administration

  • Disinfect the catheter cap with an alcohol swab for 15 seconds.
  • Allow to air-dry for 30 seconds (do not blow, fan or wipe).
  • Connect the medication syringe to the catheter cap:
    1. Hold the catheter cap between your thumb and index finger.
    2. Insert the syringe and turn it to the right.
  • If there are clamps on the catheter or its extension, open them.
  • Inject slowly over the time prescribed for your treatment.
  • Follow the prescribed injection rate.
  • Close any clamps if applicable.
  • Disconnect the syringe by turning to the left and discard all used materials.
  • Disinfect the catheter cap again with an alcohol swab for 15 seconds.
  • Allow to air-dry for 30 seconds (do not blow, fan, or wipe).
  • Flush the catheter with NaCl as described on the previous page.

Reference: Teaching Guide — Regional Program for Ambulatory and Home Intravenous Antibiotic Therapy (ATIVAD) – CISSS de la Capitale-Nationale