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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Pharmy

Concepts Covered:

  • Adult
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  • Emergency Care of the Cardiac Patient
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  • Prenatal Concepts
  • Learning Pharmacology
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Study Plan Lessons

ACLS (Advanced cardiac life support) Drugs
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anti-Platelet Aggregate
Antianxiety Meds
Antidepressants
Atropine (Atropen) Nursing Considerations
Barbiturates
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Epoetin Alfa
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Fentanyl (Duragesic) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Secure an IV (chevron, transparent dressing)
How to Remove (discontinue) an IV
Insulin
Hydralazine
Hydromorphone (Dilaudid) Nursing Considerations
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Lidocaine (Xylocaine) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
NG Tube Medication Administration
NG Tube Med Administration (Nasogastric)
Nitro Compounds
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Nystatin (Mycostatin) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Phenobarbital (Luminal) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
SubQ Injections
The SOCK Method – Overview
Tips & Tricks
Tips & Advice for Pediatric IV
Tips & Advice for Newborns (Neonatal IV Insertion)
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations