Understanding All The IV Set Ports

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Chance Reaves
MSN-Ed,RN
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Outline

Nursing Points

General

  1. On an IV primary tubing set, there are typically three ports:
    1. Port above the safety clamp
    2. Middle port
    3. Port nearest the patient
    4. Also known as “valves”
  2. The port nearest the drip chamber and above the safety clamp
    1. This port is for hanging piggybacks that must be infused through the pump
    2. The flow of the infusion at this port is controlled by the IV pump
    3. If the medication needs to be given over a specific time frame and is safety regulated by the pump, then use this port
  3. The middle port is below the safety clamp
    1. Intermittent or long term infusions that are infused by gravity should be used in this port
      1. Example: Albumin
    2. Medications that can be controlled with a flow regulator should utilize this port
  4. The port nearest the patient
    1. Used for the direct administration of medication
      1. Examples: Pain medications or anti-emetics

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Transcript

Okay guys, in this lesson we’re going to talk about the IV ports. Now, this is a broad overview, but we’re going to cover some specifics that you need to know anytime you’re using one of these IV sets. Now there are ports along with this entire IV tubing known as Y sites or ports. This is where medication is attached or other maybe an intermittent tubing or an intermittent type of medication that you need to give. Typically there’s three on this two being set. There’s two, but we’re going to talk about the third one as well. So first off, you’ve got your upper one. The upper port is important because this one is the one that deals with piggybacks. It’s always going to be above the safety clam. There’s also a Y site or a port that’s closest to the patient. This is going to be really helpful for some intermittent infusions and also for any direct IV medications that you need to give.

So if you have to give lane Zofran or maybe some pain medications via IV push, this is the port that you’re going to want to do that in the third port. That’s really important that you’ll get sometimes in these priority tunings is one that’s really, really helpful for medications that don’t have to be regulated by the pump. These are things like albumin. If you can have something that can go just down a drip maybe from gravity or maybe it has its own flow meter, that’s a really good run for the goat that goes in that middle port.

Okay, guys, I hope that this has been really helpful. Now go out and be your best selves today and as always, happy nursing.

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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)