methods of iv infusions
primary
aka: maitenace or continuous
- continuous infusion
- maintenance infusion
- can run via gravity or electric pump
examples of primary infusions
- NS @ ml/hr
- NS with 40 meg KCI at 80 ml/hr
- 1/2 NS at 125 ml/hr
priming is done in order to remove all of the air from the tubing
(t/f)
true
- maintain sterility
- close the roller clamp first before priming the tubing
methods of infusion
secondary
aka: IV piggy-back (IVPB)
- connects to the HIGHEST point on the primary infusion line
- when hanging, be sure that it is compatible with the primary infusion
in order to prime a secondary line you can back prime
back priming - connect secondary line to the highest point of the primary line, hold the secondary bag lower than the primary and the fluid will flow into the tubing of the secondary line
methods of infusion
blood administration
- blood products MUST be on a pump
- y-set tubing is for blood products
- the saline does NOT run during the blood transfusion
- prime the saline line first, then prime the blood
- electronic pumps
- pumps will improve the accuracy of delivery of medications
- can be single-channel or multi-channel
- pumps will deliver a present fluid rate over a specified period of time
ALWAYS use a pump with central lines, TPN, titratable medications and blood/blood products
(T/F)
TRUE
ELECTRONIC PUMP ALARMS
occlusion
kinked tubing, IV in A/C, blood clot
electronic pump alarms
air-in line
check entire length of tubing, disconnect from patient and remove air
electronic pump alarms
infusion complete
check infusion to be sure the infusion is truly complete or if it needs to be reprogrammed to meet the VTBI
electronic pump alarms
power
pump must be plugged in often to maintain battery charges
rate of IV infusion
- check the orders
- gravity drip or electronic pump
- check IV site & IV rate least EVERY hour
height of bag
how many inches do you keep above the heart?
keep 36 inches above the heart
slowed infusion rate
- check tubing for kinks
- check clamps- are they closed?
- check iv sit
- e- irritation, catheter can be compressed and/ or clotted
change IV tubing and iv site, how often?
every 72 hours or per facility policy
CHECK iv SITE HOURLY