I think that you should count it as both an IV med and parenteral/IV.  Remember that the lookback period for IVs is only 7 days but is 14 days for IV meds.  The fluid in the D5w is certainly more than what is usually in an IV piggyback, so I would count it.
----- Original Message -----
Sent: Tuesday, April 27, 2004 6:15 PM
Subject: IV fluids - section K

questioning section K5a Parenteral/IV - page 3-153  Parenteral/IV - ... Do not code IV "push" medications.  Do include the IV fluids in IV piggybacks.  IV medications dissolved in a diluent, as well as IV push medications are captured as IV medication in P1ac. ...
 
Order that reads:  D5W with 20meq KCL and the hospital MAR indicates that during one day of the assessment period 368cc was infused per IV.  I have been told that we can only count the KCL medication in section P1ac as the 368cc of fluid was only used as a diluent for the KCL. 
We did mark section P to capture the IV medication, but the question is can we count the fluids used to administer the IV medication as IV fluids?
 
Bee B.


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