Which statement about high-risk medications is NOT a recommended practice?

• A. Administer via a dedicated line
• B. Administer as IV push
• C. Dilute the solution
• D. Use IV piggyback

Answer: (B)

High-risk medications require careful control of how they are given to minimize harm. The safest practice is to ensure controlled delivery through a dedicated line, use a dilute solution when appropriate, and administer via an IV piggyback or continuous infusion so the rate can be precisely managed. Administering high-risk meds as an IV push delivers the drug rapidly into the bloodstream, with little time to monitor and adjust the dose or rate. This rapid administration increases the risk of severe adverse reactions, infiltration or extravasation, and drug incompatibilities, making IV push not a recommended practice for high-risk medications. In contrast, using a dedicated line helps prevent mix-ups and incompatibilities, diluting the solution lowers the concentration to safer levels, and IV piggyback allows a controlled, slower infusion that improves safety and monitoring.