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.

🎉 Special Offer 🎉

Nursing School Doesn't Have To Be So Hard

Go from discouraged and stressed to motivated and passionate

Basics of Pharm Study Plan

Concepts Covered:

  • Concepts of Pharmacology
  • Studying
  • Test Taking Strategies
  • Learning Pharmacology
  • Dosage Calculations
  • Medication Administration
  • Intraoperative Nursing
  • Microbiology
  • Disorders of Pancreas
  • Circulatory System
  • Upper GI Disorders
  • Fundamentals of Emergency Nursing
  • Understanding Society
  • Tissues and Glands
  • Adulthood Growth and Development
  • Newborn Care
  • Postoperative Nursing
  • Prenatal Concepts
  • Substance Abuse Disorders
  • Immunological Disorders
  • Adult
  • Emergency Care of the Cardiac Patient
  • Nervous System
  • Vascular Disorders
  • Cardiac Disorders
  • Anxiety Disorders
  • Depressive Disorders
  • Bipolar Disorders
  • Psychotic Disorders
  • Central Nervous System Disorders – Brain
  • Gastrointestinal Disorders
  • Neurological
  • Respiratory Disorders
  • Noninfectious Respiratory Disorder
  • Hematologic Disorders
  • Peripheral Nervous System Disorders
  • Pregnancy Risks
  • Postpartum Complications

Study Plan Lessons

Pharmacology Course Introduction
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
12 Points to Answering Pharmacology Questions
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Complex Calculations (Dosage Calculations/Med Math)
Pediatric Dosage Calculations
Struggling with Dimensional Analysis? – Live Tutoring Archive
Medication Errors
6 Rights of Medication Administration
Using Aseptic Technique
Supplies Needed
Needle Safety
Drawing Up Meds
Medications in Ampules
Oral Medications
SubQ Injections
IM Injections
Injectable Medications
Pill Crushing & Cutting
Positioning
Tips & Tricks
Insulin
Insulin Mixing
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin Drips
Glipizide (Glucotrol) Nursing Considerations
IV Insertion Course Introduction
Selecting THE vein
IV Catheter Selection (gauge, color)
IV Insertion Angle
Starting an IV
IV Placement Start To Finish (How to Start an IV)
Bariatric: IV Insertion
Combative: IV Insertion
Dark Skin: IV Insertion
Tattoos IV Insertion
Geriatric: IV Insertion
Tips & Advice for Pediatric IV
Tips & Advice for Newborns (Neonatal IV Insertion)
How to Secure an IV (chevron, transparent dressing)
Maintenance of the IV
How to Remove (discontinue) an IV
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Understanding All The IV Set Ports
Spiking & Priming IV Bags
IV Infusions (Solutions)
Hanging an IV Piggyback
Giving Medication Through An IV Set Port
IV Push Medications
IV Pump Management
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
Drawing Blood from the IV
NG Tube Medication Administration
NG Tube Med Administration (Nasogastric)
Interactive Practice Drip Calculations
Pain Management Meds – Live Tutoring Archive
Pain Management for the Older Adult – Live Tutoring Archive
Opioid Analgesics in Pregnancy
Patient Controlled Analgesia (PCA)
Codeine (Paveral) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Fentanyl (Duragesic) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Ketorolac (Toradol) Nursing Considerations
ACLS (Advanced cardiac life support) Drugs
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Atenolol (Tenormin) Nursing Considerations
Hydralazine
Lidocaine (Xylocaine) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Nitro Compounds
Verapamil (Calan) Nursing Considerations
Streptokinase (Streptase) Nursing Considerations
Anti-Platelet Aggregate
Antianxiety Meds
Antidepressants
TCAs
MAOIs
Mood Stabilizers
Olanzapine (Zyprexa) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Barbiturates
Sedatives-Hypnotics
Sedatives-Hypnotics
Pentobarbital (Nembutal) Nursing Considerations
Phenobarbital (Luminal) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Anti-Infective – Antifungals
Nystatin (Mycostatin) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Mannitol (Osmitrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Epoetin Alfa
Neostigmine (Prostigmin) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Meds for Postpartum Hemorrhage (PPH)
Methylergonovine (Methergine) Nursing Considerations
Rh Immune Globulin in Pregnancy
Eye Prophylaxis for Newborn
Phytonadione (Vitamin K) for Newborn
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Anesthetic Agents
Propofol (Diprivan) Nursing Considerations
Nalbuphine (Nubain) Nursing Considerations
Interactive Pharmacology Practice