Hanging an IV Piggyback

You're watching a preview. 300,000+ students are watching the full lesson.
Chance Reaves
MSN-Ed,RN
Master
To Master a topic you must score > 80% on the lesson quiz.
Take Quiz

Included In This Lesson

Study Tools For Hanging an IV Piggyback

IV bags and tubing (Image)
140 Must Know Meds (Book)
Medication Administration Pro-Tips (Cheatsheet)
Spiking & Priming IV Bags (Cheatsheet)
Starting an IV (Cheatsheet)
NURSING.com students have a 99.25% NCLEX pass rate.

Outline

Overview

  1. Purpose
    1. Some IV infusions are hung as secondary, or piggyback, infusions with primary infusions of IV fluids
    2. This method ensures all of the medication is infused
    3. It also ensures the primary infusion is restarted immediately once the secondary is complete

Nursing Points

General

  1. Supplies needed to hang an IV piggyback
    1. Primary infusion – already spiked, primed, and infusing to patient
      1. Ensure fluids are compatible
    2. Secondary tubing
    3. Bag of med for piggyback infusion

Nursing Concepts

  1. Steps and Nursing Considerations
    1. Verify provider order
    2. ALWAYS follow 5 rights BEFORE preparing medication
      1. Right Patient
      2. Right Drug
      3. Right Dose
      4. Right Route
      5. Right Time
      6. Right Documentation
    3. ALWAYS prepare medications at the patient’s bedside
    4. Gather supplies
    5. Perform hand hygiene
    6. Don clean gloves
    7. Let the patient know what meds they will be receiving
    8. Remove IV med bag from package if applicable
    9. Open Secondary IV tubing package
    10. Clamp tubing with roller clamp
    11. Spike and prime the tubing appropriately
    12. Clamp tubing once fully primed
    13. Attach the secondary IV tubing to the port on the primary IV tubing that is above the pump
      1. Scrub the hub for 30 seconds with alcohol scrub
      2. Twist the leur-lock in place
    14. Set the pump for a secondary infusion per manufacturer instructions and according to the ordered rate
    15. Unclamp the secondary tubing , THEN Start Infusion
    16. AFTER administration
      1. Document administration
      2. If using barcode medication administration
        1. Scan all meds before preparing
        2. Confirm administration AFTER giving to patient
    17. Discard all used supplies
    18. Remove gloves
    19. Perform hand hygiene

Patient Education

  1. Indication and possible side effect(s) of medication(s)
  2. Signs to report to nurse or provider

Unlock the Complete Study System

Used by 300,000+ nursing students. 99.25% NCLEX pass rate.

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

Transcript

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!

Study Faster with Full Video Transcripts

99.25% NCLEX Pass Rate vs 88.8% National Average

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

Chamberlain University-Texas Study Plan for Nursing Skills

Concepts Covered:

  • Medication Administration
  • Musculoskeletal Trauma
  • Liver & Gallbladder Disorders
  • Noninfectious Respiratory Disorder
  • Respiratory System
  • Postpartum Complications
  • Urinary Disorders
  • Urinary System
  • Pregnancy Risks
  • Circulatory System
  • Communication
  • Documentation and Communication
  • Legal and Ethical Issues
  • Respiratory Disorders
  • Oncology Disorders
  • Cardiac Disorders
  • Emergency Care of the Cardiac Patient
  • Renal Disorders
  • Hematologic Disorders
  • Disorders of Pancreas
  • Shock
  • Infectious Respiratory Disorder
  • Substance Abuse Disorders
  • Central Nervous System Disorders – Brain
  • Understanding Society
  • Upper GI Disorders
  • Emergency Care of the Trauma Patient
  • Fundamentals of Emergency Nursing
  • Emergency Care of the Respiratory Patient
  • Emergency Care of the Neurological Patient
  • Prioritization
  • Test Taking Strategies

Study Plan Lessons

Hanging an IV Piggyback
Spiking & Priming IV Bags
IV Push Medications
Insulin Mixing
Drawing Up Meds
Wound Care – Assessment
NG (Nasogastric)Tube Management
Inserting an NG (Nasogastric) Tube
Trach Care
Trach Suctioning
Inserting a Foley (Urinary Catheter) – Female
Inserting a Foley (Urinary Catheter) – Male
Blood Cultures
Starting an IV
Drawing Blood
Shift change and Patient handoff
Provider Phone Calls
How to Write A Nursing Progress Note
X-Ray (Xray)
Computed Tomography (CT)
Magnetic Resonance Imaging (MRI)
Supraventricular Tachycardia (SVT)
Premature Ventricular Contraction (PVC)
Ventricular Tachycardia (V-tach)
Atrial Fibrillation (A Fib)
Sinus Tachycardia
Sinus Bradycardia
Normal Sinus Rhythm
Urine Culture and Sensitivity Lab Values
Creatinine Clearance Lab Values
D-Dimer (DDI) Lab Values
Carbon Dioxide (Co2) Lab Values
Brain Natriuretic Peptide (BNP) Lab Values
Troponin I (cTNL) Lab Values
COPD (Chronic Obstructive Pulmonary Disease) Labs
Congestive Heart Failure (CHF) Labs
Sepsis Labs
Dysrhythmias Labs
Pneumonia Labs
Hemoglobin A1c (HbA1C)
Glucose Lab Values
Urinalysis (UA)
Creatinine (Cr) Lab Values
Blood Urea Nitrogen (BUN) Lab Values
Liver Function Tests
Total Bilirubin (T. Billi) Lab Values
Ammonia (NH3) Lab Values
Cultures
Coagulation Studies (PT, PTT, INR)
IV Drip Therapy – Medications Used for Drips
IV Drip Administration & Safety Checks
Understanding All The IV Set Ports
Drawing Blood from the IV
Dark Skin: IV Insertion
Bariatric: IV Insertion
Massive Transfusion Protocol
Emergency Nursing Course Introduction
Pulmonary Embolism
Hypertensive Emergency
Dysrhythmia Emergencies
Cardiopulmonary Arrest
Aneurysm & Dissection
Aggressive & Violent Patients
Legal & Ethical Issues in ER
EMTALA & Transfers
Critical Incident Management
Triage in the ER
Crush Injuries
Head Trauma & Traumatic Brain Injury
Acute Confusion
Intracranial Hemorrhage
Increased Intracranial Pressure
Seizure Management in the ER
Penetrating Abdominal Trauma
Blunt Abdominal Trauma
Penetrating Thoracic Trauma
Blunt Thoracic Trauma
Trauma Survey
Prioritizing Assessments
Heart (Heart) Failure Exacerbation
Stroke (CVA) Management in the ER
Acute Respiratory Distress
Acute Coronary Syndrome (ACS)