I have a question, we have a patient on kepivance, which must be given direct IV undiluted, which is an amount of .93 mls. In order to properly draw up an acurate dose, we need to use a 1 cc syringe. We don't want to use the 1 cc syringe in his PICC line, and we can not get a peripheral IV into him.
It was suggested to use a butterfly to gain access, give the drug, and remove it. One of our managers has issues with this, as using a steel needle to give medications is not appropriate.
Any thoughts on this? any other suggestions on how we can administer the medication?