Hanging an IV Piggyback

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Chance Reaves
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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)
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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

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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!

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Study Plan Lessons

Acetaminophen (Tylenol) Nursing Considerations
Antineoplastics
Fungal Infections
Antiviral Agents for Treatment
Basics of Microbial Control
Pediatric Dosage Calculations
Hypertension (HTN) Concept Map
Coronary Artery Disease Concept Map
Interactive Practice Drip Calculations
Tension and Cluster Headaches
Migraines
Patient Controlled Analgesia (PCA)
Epidural
Anesthetic Agents
Barbiturates
Opioids
Bronchodilators
Anti-Infective – Glycopeptide
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Anti-Infective – Sulfonamides
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Anti-Infective – Macrolides
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Anesthetic Agents
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Nuclear Chemistry
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Bronchodilators
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Cardiopulmonary Arrest
Anti-Infective – Glycopeptide
Antidiabetic Agents
Bacteria
Nuclear Chemistry
Neonatal Resuscitation Program (NRP)
Thrombolytics
Anti-Infective – Lincosamide
Barbiturates
Prostaglandins in Pregnancy
Eye Prophylaxis for Newborn
Phytonadione (Vitamin K) for Newborn
Thrombin Inhibitors
Anti-Infective – Antitubercular
Chemical Equations
Chemical Bonds & Compounds
Betamethasone and Dexamethasone in Pregnancy
Sedatives-Hypnotics
Tocolytics
Sympatholytics (Alpha & Beta Blockers)
Opioids
Coumarins
Anti-Platelet Aggregate
Properties of Matter
Scientific Notation & Measurement
Chemical Reactions
Anti-Infective – Antivirals
Anti-Infective – Antifungals
Anti-Infective – Tetracyclines
Anti-Infective – Sulfonamides
Anti-Infective – Fluoroquinolones
Anti-Infective – Macrolides
Anti-Infective – Carbapenems
Anti-Infective – Aminoglycosides
Parasympathomimetics (Cholinergics) Nursing Considerations
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
ACLS (Advanced cardiac life support) Drugs
Psychiatry Terminology
Pharmacology Terminology
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
The SOCK Method – Overview
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
The SOCK Method – S
Hanging an IV Piggyback
Spiking & Priming IV Bags
IV Push Medications
IM Injections
SubQ Injections
Insulin Mixing
Medications in Ampules
Drawing Up Meds
Topical Medications
EENT Medications
Pill Crushing & Cutting
NG Tube Med Administration (Nasogastric)
Hb (Hepatitis) Vaccine
Phytonadione (Vitamin K)
Eye Prophylaxis for Newborn (Erythromycin)
Lung Surfactant
Rh Immune Globulin (Rhogam)
Meds for PPH (postpartum hemorrhage)
Uterine Stimulants (Oxytocin, Pitocin)
Prostaglandins
Opioid Analgesics
Magnesium Sulfate
Betamethasone and Dexamethasone
Tocolytics
Complex Calculations (Dosage Calculations/Med Math)
IV Infusions (Solutions)
Injectable Medications
Oral Medications
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Basics of Calculations
Pharmacokinetics
Pharmacodynamics
Antidepressants
Mood Stabilizers
Antianxiety Meds
Meds for Alzheimers
Sedatives-Hypnotics
Antipsychotics
Heart (Cardiac) Failure Therapeutic Management
NG Tube Medication Administration
Disease Specific Medications
Vasopressin
TCAs
SSRIs
Proton Pump Inhibitors
Anti-Infective – Penicillins and Cephalosporins
Parasympatholytics (Anticholinergics) Nursing Considerations
NSAIDs
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HMG-CoA Reductase Inhibitors (Statins)
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Renin Angiotensin Aldosterone System
6 Rights of Medication Administration
Essential NCLEX Meds by Class
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
54 Common Medication Prefixes and Suffixes
12 Points to Answering Pharmacology Questions