Hanging an IV Piggyback

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IV bags and tubing (Image)
140 Must Know Meds (Book)
Medication Administration Pro-Tips (Cheat Sheet)
Spiking & Priming IV Bags (Cheat Sheet)
Starting an IV (Cheat Sheet)

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In this video we’re going to look at how to hang an IV piggyback, otherwise known as a secondary IV infusion. To do this, you have to have a primary infusion running, so make sure you go back and watch how to spike and prime an IV infusion first!

So once you’ve verified your orders, you’re going to get your IV med bag out of the package if it’s in one.
Then you’ll open the secondary IV tubing package - this is usually much shorter than primary tubing and doesn’t go inside the pump. Then you’ll clamp that tubing once you have it open.

Then you need to spike and prime your secondary med bag - use a trashcan or the sink if you need to, then clamp it once it’s primed.

Now you’re going to attach the secondary IV tubing to the primary tubing - usually there’s a port above the pump, that’s where you want to attach it. Make sure you scrub the hub.

Now you can set the pump for a secondary infusion. If you aren’t sure how, check the manufacturer instructions or check with a charge nurse. Ad of course, make sure you’re setting it according to the ordered rate.

And, of course, make sure you unclamp the secondary tubing before you hit Start!

If you’re ever unsure how long to infuse these meds over, check with your pharmacist. Then, document the administration and monitor the patient for effects of the meds.

That’s it! Now, go out and be your best selves today. And, as always, happy nursing!
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