1 / 12

Terminology

Terminology. Piggyback: general term meaning ‘attach 1 tubing to another’ Continuous vs Intermittent Secondary Tubing Y-site Volume Controlled set. Advantages IV route. Direct (and instant) access to circulatory system

kiefer
Télécharger la présentation

Terminology

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Terminology • Piggyback: general term meaning ‘attach 1 tubing to another’ • Continuous vs Intermittent • Secondary Tubing • Y-site • Volume Controlled set

  2. Advantages IV route • Direct (and instant) access to circulatory system • Able to give drugs too irritating for gastric mucosa – or for delivering high concentrations • Since IVPB (“intermittent”) usually over 30 – 60 min, can instantly d/c if reaction occurs • Able to give meds when GI tract not available

  3. Disadvantages of IV route • Drug interactions because of incompatibilities • Sometimes drug absorbed by plastic container – full dose not delivered • Speed shock • Tissue injury – chemical phlebitis or when certain drugs infiltrate

  4. Before hanging med: • Check expiration date on secondary tubing. • Does tubing have sterile cap? • 5 rights, plus • rate of administration • compatibility of IV solution • clean access (Y-site) ports with alcohol prior to each access.

  5. Compatibility & Rate of Administration Drug books • Davis’s Drug Guide: each drug divided into sections; find “IV Administration” section • “intermittent administration” & compatibility • Gahart: information under Dilution, Rate of Administration, Compatibility • Intermittent IV (vs IV injection or infusion) • Pharmacy

  6. Ondansetron HCL (Zofran)(Gahart & Nazareno, Intravenous Medications) Dilution • IV injection:… • Intermittent infusion: single dose should be diluted in 50 mL of NS or D5W. Also available… Compatibility • Additive • Y-site Rate of Administration • IV injection… • Intermittent infusion: single dose over 15 min.

  7. Primary IV on Infuser pump • Y-site above the pump (‘rate controller’) • Backprime • “piggyback” or “secondary” function key • Rate • VTBI

  8. Primary IV to gravity Dial-a-flow or stat-master = the ‘rate controller’ • Y-site above rate controller • Set at desired ml/hr AND check gtts/min to verify accuracy. Maintenance solution stops while infusing an intermittent med attached above the pump or dial-a flow

  9. After hanging med • Make sure it is infusing • Have you opened the clamp? • Check on pt after 5-10 min • 6th right: document

  10. Syringe Pump • “spaghetti” tubing • Note where flange of syringe goes • Attach closest to IV insertion site (below the ‘rate controller’) • Maintenance solution does not stop

  11. Saline Lock • Saline • Administer med • Saline • Used with Syringe pump, gravity tubing, or EID

  12. What if solution is incompatible? • Use Primary tubing and connect to lower Y-site • Turn off primary IV • Flush with saline before and after or • Disconnect primary IV, hang NS and use secondary tubing.

More Related