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Updated: Jul 29, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Reprint from AJN: Secondary Medication Administration and IV Smart Pump Setup: What every nurse needs to know
Abstract:
Secondary infusion by large-volume iv smart pump is used extensively in the acute care setting for one-time or intermittent administration of medications such as antibiotics, electrolyte replacements, and some oncology drugs. Consistent and accurate delivery of secondary medications requires a full understanding of the system and setup requirements. Unfortunately, it is not uncommon for nurses to find a secondary medication only partially administered when their programming should have resulted in a complete infusion. This article discusses the technical requirements that every nurse should know when administering secondary medications using an iv smart pump.
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