How To Back Prime Secondary Tubing

IV Piggyback Medication Administration: This online course discusses guidelines and techniques in proper IV piggyback setup including dorsum priming, bag and equipment gear up, and other important steps of the piggyback infusion procedure.

Accreditation Information: KLA Education Services LLC is accredited by the State of California Board of Registered Nursing, Provider # CEP16145.

Course Certification: In one case y'all take completed this form, click on the "Impress Certificate" option below to save or print your CE course certification. If y'all are not yet registered in a course plan with IvyLeagueNurse, delight complete the registration and payment process so that you are able to log into your account and fully obtain your course document. Our affordable and unlimited one-year CEU plan starts at just $xix.99.

Department 1: What is an IVPB?

• IVPB is a method of medication administration commonly used for medical treatments, especially antibiotics.

• In an IV piggyback setup, small-scale volumes of intravenous solution are given by intermittent infusion.

• Medication is administered via secondary 4 tubing continued to the primary tubing.

• Solutions used in intermittent infusion are typically prepared in the pharmacy before administration.

• Medication is administered and the full IVPB setup is e'er performed by a trained nurse.

Department 2: Why Do We Desire to Use an IVPB Setup?

• It is important to administer many medications slowly via a secondary line to ensure the complete delivery of the prescribed dosage of an IVPB.

• If abx are infused through the chief line just, and so nurses cannot administer a flush. Without flushing the line, part of the abx dose stays in the tubing. However, when the IVPB is connected to a primary line(,) it allows the nurse to fully flush out the meds from the line.

Department iii: Anatomy of an IVPB System

A full 4 piggyback setup with secondary tubing connected to main tubing and secondary container positioned higher than the primary container to ensure proper and complete medication administration.

Section 4: Equipment Needed for Setting Up an IVPB System

Primary IV Tubing

Secondary IV Tubing

Electronic Infusion Pump on IV Pole

Affluent Bag (500 mL NS or D5W)

Clean Gloves

Alcohol Pads

Department 5: How to Get-go an 4 Piggyback: Procedure for Hanging IVPBs

1. Launder hands and don make clean gloves
2. Scan IVPB according to BCMA policy and procedures.
3. Explicate IVPB procedure to patient.
4. Check the "Five Rights" of proper medication administration.
5. Inspect IVPB solution for integrity, discoloration, turbidity, and particulates. Be sure to cheque the expiration date.
6. Assess pt's IV site/CVC for patency.
   1. To ensure patency of a CVC, find brisk blood return. Take a syringe and aspirate until you see a brisk menstruum of blood fill catheter tubing.
7. Aseptically spike the solution port of the IVPB with the ii° tubing.
   1. Ensure that the roller clench is closed beneath the fluid chamber!
8. Before connecting the 2° tubing to the 1° line, scrub the injection port above the pump with an booze prep pad for at least fifteen seconds. Remember the phrase, "Scrub the Hub!"

Section 6: How to Back Prime an Iv Piggyback

1. Lower down the secondary set to permit fluid menstruation into it from the primary ready.

• This step works based on the concept of gravity.
• Information technology as well helps remove air from secondary tubing.

2. Release the roller clench to permit 1° solution to make full 2° tubing (don't overfill fluid chamber).

3. Clamp off the 2° tubing once the fluid chamber is one-half-filled.

iv. Squeeze whatever excessive fluid from the fluid chamber into the IV piggyback unit.

Section seven: Back Flushing Diagram

Figure one: Lowering the secondary set to let fluid flow into it from the master set.
Figure 2: Moving excess fluid into the secondary medication container.
Figure three: Attaching the new secondary medication container.

Section 7(a): Back Flushing Using the Same Secondary Tubing

1. This back flushing method is used between doses and the existing secondary IVPB tubing is utilized here (not new tubing)

2. Lower downward the 2° line with the IVPB

3. Let for i° solution to back fill the 2° tubing thoroughly draining into old med bag.

4. Don't overfill bedroom, clasp any excess fluid into sometime IVPB unit

5. Remove old IVPB unit of measurement without contaminating tubing spike

6. Discard old IVPB

7. Fasten new med bag aseptically

8. Hang piggyback unit back onto Iv pole

9. Brand sure new IVPB unit is at least six" higher than primary fluid handbag

10. Programme infusion pump with new data as needed

Ensure your secondary unit is at least 6" college than the master fluid bag.

Section seven(b): Benefits of Dorsum Flushing

• Back flushing allows for one secondary set to be used for all intermittent meds

  • This minimizes the need for the connection and disconnection of sets which, in turn, decreases the chance of contamination

• One secondary ready remains attached to the primary prepare and both are changed together at 72

• Back flushing is a safe and cost(-)constructive method for infusion

• Not having to consistently supplant new tubing will as well save you valuable nursing time!

Department viii: Later Programming The Infusion Pump

• Release roller clamp

• Visually confirm that the IVPB is successfully infusing

  • Retrieve to check the drip sleeping accommodation of your secondary tubing!

    

• Find patient for signs of infiltration or an agin reaction to medication

Section 9: After IVPB Infusion is Completed

• Allow additional mL of primary fluid (amount typically programmed into pump) to infuse

• Disconnect IV tubing from patient

• Apply sterile cap to 4 tubing

Ensure that 4 tubing is properly capped after disconnection. Practice not tuck the luer adapter into the injection port.

Section 10: Proper Labeling of Fluid Numberless and Four Tubing

1. The primary fluid bag is labeled with: its contents, the date, the fourth dimension, initials, and the patient ID

2. The IVPB is labeled with: the pharmacy characterization and patient ID, the date, the time, and initials

3. Tubing labels are labeled with the date and fourth dimension in which the tubing expires (ordinarily within a 72-hour timeframe)

4. Note that the affluent handbag besides expires afterward 24 hours
   

Section eleven: IVPB Compatibility

• Typical Four Fluids = 500 mL Flush Pocketbook

  • Normal Saline (NS)

  • five% Dextrose (D5W)

• Always bank check the compatibility of the main solution and the IVPB

  • Some common medications with known incompatibility are:

    • Dilantin - only use NS

    • Amphotericin B - only use D5W

• Flush bag should be the same as the diluents used to reconstitute the medication

• Utilize compatibility charts, Pharmacists' data, and online tools such as Micromedex to confirm fluid compatibility

References

• Alexander One thousand., Corrigan, A., Gorski, L., Hankins, J., & Perucca, R. (Ed.). (2010). Infusion Nursing: An Evidence-Based Approach (3rd ed.). Infusion Nurses Society.

• Army camp-Sorrell, D. (Ed.). (2008). Access Device Guidelines: Recommendation for Practice and Teaching(2nd ed.). Oncology Nurse Society.

Course Certification Notation

Once you accept completed this grade, click on the "Impress Certificate" choice at the top of this page to save or print your CE form certification (provided no farther exams are required in your state or with your license). If you are not yet registered in a course program with IvyLeagueNurse, please complete the registration and payment process so that you lot tin log into your business relationship and fully obtain this document.

Source: https://www.ivyleaguenurse.com/courses/intravenous-piggyback-medication-administration/

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