peripheral IV - priming secondary tubing
Give this one a try later!
, 1. Identify the patient, explain the procedure, and ask about allergies.
2. Check the medication against the physician's orders.
- Be sure that piggyback medication is compatible with primary infusion
solution.
- Check the medication label three times to ensure that the correct
medication is being prepared for administration.
- Check the expiration date of the medication.
- Handle only one medication at a time.
NOTE: If unfamiliar with a medication, look it up to determine
contraindications, precautions, and side effects.
3. Prepare the medication. (Some will require reconstitution)
- Calculate the amount of medication required to equal the prescribed
dose.
NOTE: If the medication is in powdered form, prepare it for use by adding
the diluent specified on the drug information instructions.
- Check the medication and calculations again to ensure that the correct
medication and correct dose have been prepared.
4. Clean port on primary tubing set (Be sure that the port is BEFORE the IV
pump) and attach the secondary tubing to the primary tubing.
5. Aseptically insert the spike on the piggyback tubing into the solution
port on the piggyback unit.
- Open the clamp on the piggyback tubing and lower the piggy back bag
below the level of the primary solution, allowing the solution to prime the
tubing.
CAUTION: Take care not to waste any medicated IV solution while priming
the tubing.
6. Hang the piggyback unit on the IV pole, ensuring that the piggyback unit
is at least 6 inches higher than the primary container.
7. Ensure patency of the primary IV.
8. Begin the secondary (piggyback) infusion
peripherally inserted central catheter (PICC)
Give this one a try later!
, - Insertion: Basilic (preferred) or cephalic vein in the arm
- May have single or multiple lumens
- May be placed @ bedside by physician or specially certified RN
- Will need CXR to verify distal tip if not inserted under fluoroscopy
simple oxygen mask
Give this one a try later!
- Actual delivered O2 concentration varies with breathing pattern
- Not suitable for clients with COPD because of potential for excessive
oxygenation
- Should ideally be used with humidification
- <6 L/min can lead to CO2 buildup
FiO2
- typically 6-10 L/min: 40-60% FiO2
Oxygen tent & hood
Give this one a try later!
Advantages:
- Option for children who will not leave a face mask or nasal cannula in
place
- Gives the patient freedom to move in bed or crib while humidified oxygen
is being delivered
Disadvantages:
- Hard to keep closed due to contact with patients
- Difficult to maintain a consistent level of oxygen and deliver oxygen at a
higher rate than 30%-50%
Give this one a try later!
, 1. Identify the patient, explain the procedure, and ask about allergies.
2. Check the medication against the physician's orders.
- Be sure that piggyback medication is compatible with primary infusion
solution.
- Check the medication label three times to ensure that the correct
medication is being prepared for administration.
- Check the expiration date of the medication.
- Handle only one medication at a time.
NOTE: If unfamiliar with a medication, look it up to determine
contraindications, precautions, and side effects.
3. Prepare the medication. (Some will require reconstitution)
- Calculate the amount of medication required to equal the prescribed
dose.
NOTE: If the medication is in powdered form, prepare it for use by adding
the diluent specified on the drug information instructions.
- Check the medication and calculations again to ensure that the correct
medication and correct dose have been prepared.
4. Clean port on primary tubing set (Be sure that the port is BEFORE the IV
pump) and attach the secondary tubing to the primary tubing.
5. Aseptically insert the spike on the piggyback tubing into the solution
port on the piggyback unit.
- Open the clamp on the piggyback tubing and lower the piggy back bag
below the level of the primary solution, allowing the solution to prime the
tubing.
CAUTION: Take care not to waste any medicated IV solution while priming
the tubing.
6. Hang the piggyback unit on the IV pole, ensuring that the piggyback unit
is at least 6 inches higher than the primary container.
7. Ensure patency of the primary IV.
8. Begin the secondary (piggyback) infusion
peripherally inserted central catheter (PICC)
Give this one a try later!
, - Insertion: Basilic (preferred) or cephalic vein in the arm
- May have single or multiple lumens
- May be placed @ bedside by physician or specially certified RN
- Will need CXR to verify distal tip if not inserted under fluoroscopy
simple oxygen mask
Give this one a try later!
- Actual delivered O2 concentration varies with breathing pattern
- Not suitable for clients with COPD because of potential for excessive
oxygenation
- Should ideally be used with humidification
- <6 L/min can lead to CO2 buildup
FiO2
- typically 6-10 L/min: 40-60% FiO2
Oxygen tent & hood
Give this one a try later!
Advantages:
- Option for children who will not leave a face mask or nasal cannula in
place
- Gives the patient freedom to move in bed or crib while humidified oxygen
is being delivered
Disadvantages:
- Hard to keep closed due to contact with patients
- Difficult to maintain a consistent level of oxygen and deliver oxygen at a
higher rate than 30%-50%
