So you have an order to administer some IV fluids and you need to know how to
get that line ready. We're going to talk about that right after this. Welcome back
my name is Tammy and this is NurseMinder and on this channel we do
everything nursing, so if you're new here consider subscribing below so that you
get the next video when it's released. First thing you're going to need to
gather is the correct fluid per your order and we will inspect this fluid
while we have it. It comes in a plastic sleeve - open this up pull it out and make
sure in fact it is the right fluid that is being ordered and then it has not
expired - which is up here in the corner. So today is May 4th 2018 this is still
good. We also want to inspect it for clarity and to make sure there are no
signs of infiltrate in there and this looks like it's good. So we're gonna hang
this up. The next thing you need is your primary line. I'm using an Alaris pump
here so I need the smart sight infusion set. If you're gonna be calculating your
drip rate by gravity you'll need to note that it's 20 drops per ml for this set.
We also need an alcohol swab and our label. Let's go ahead and talk about this
line first. The IV infusion set is a sterile
one-time use latex free system for providing fluids. At the top we have our
spike and it is covered by a protective sheath that keeps it sterile. The next
thing we have is our vent cap. If using a bottle for infusion we need to open the
vent cap to allow air to go into the bottle for fluid to release. Following
that we have our drip chamber. In order to ensure we have the correct amount of
fluid in the drip chamber, there is a line at the bottom that indicates the
minimum level of fluid needed to prevent air flow going through the line. We would
like to fill that chamber about one third to half full. As we move down the line,
we're visually inspecting the tubing and we'll notice that we come first to
the check valve and this prevents any fluid going back up towards the bag that
is currently hanging. Then we come next to our first smart sight. This would be
where we could attach a secondary line. As we continue down the line, we come to
the blue sheet that covers the pump segment. This is the portion that will go
into the Alaris pump and for now we'll keep the blue sheath on. The next thing
we come to will be the roller clamp. We will use this to manipulate the flow if
we are running fluid by gravity, but also use this to clamp off the line
before we spike our bag. Finally as we continue to inspect the line,
we'll come past another smart sight down to the male Luer; and the male Luer is
also a sterile tip, ready to be attached to our patient. So we're actually gonna
take off the catheter now and my sterile tip is now exposed so I don't want that
to touch anything. I'm also going to pull off the blue sheath here, discard,
securely hold that between my thumb and index finger and I'm going to insert my
sterile tip into the bag. We're gonna give it a squeeze and I want some fluid
in here, okay. Now I can manage the flow all the way
down to the male Luer. So I've got my fluid in the drip chamber and I'm ready
to let it roll. I'm going to open up my roller clamp - you probably can't see it
on the screen the fluid is now flowing.
You see those drips it's now fully primed. I'm going to lock it off. At this
point you would use your sterile swab to clean off the smart site, attach a
syringe and remove any air bubbles. So now that your IV is already in the pump, we
need to make sure that it's labeled and at this lowest Y connector just before
it joins - you want to have your tag - and it needs to have the date and time but
also the solution that's in there and the reason we put it at the entry to
this port is if someone is going to Y in another medication, it helps them to
identify compatibility issues and then part of your checks would be from the
patient - normal saline- and you check that line all the way back physically holding
it, right through the pump to the bag to make sure it says normal saline. well
that's our lesson for today I hope you enjoyed it. Give a thumbs up if it was
helpful. Comment below and let me know what you think and if you have some
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time, make it a great day :)