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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Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)
Dysrhythmias for Certified Emergency Nursing (CEN)
Heart Failure for Certified Emergency Nursing (CEN)
Hypertension for Certified Emergency Nursing (CEN)
Pericardial Tamponade for Certified Emergency Nursing (CEN)
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Cardiovascular Trauma for Certified Emergency Nursing (CEN)
02.01 Hypertensive Crisis for CCRN Review
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02.18 Cardiovascular Practice Questions for CCRN Review
07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review
EKG (ECG) Course Introduction
Electrical A&P of the Heart
Electrolytes Involved in Cardiac (Heart) Conduction
The EKG (ECG) Graph
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Emergency Nursing Course Introduction
Prioritizing Assessments
Triage in the ER
Critical Incident Management
Dysrhythmia Emergencies
Cardiopulmonary Arrest
Heart (Heart) Failure Exacerbation
Hypertensive Emergency
IV Insertion Course Introduction
Supplies Needed
Using Aseptic Technique
Selecting THE vein
Tips & Tricks
IV Catheter Selection (gauge, color)
Positioning
IV Insertion Angle
How to Secure an IV (chevron, transparent dressing)
Drawing Blood from the IV
Maintenance of the IV
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Needle Safety
IV Drip Therapy – Medications Used for Drips
IV Drip Administration & Safety Checks
Understanding All The IV Set Ports
Giving Medication Through An IV Set Port
How to Remove (discontinue) an IV
IV Placement Start To Finish (How to Start an IV)
Bariatric: IV Insertion
Dark Skin: IV Insertion
Tattoos IV Insertion
Geriatric: IV Insertion
Life Support Review Course Introduction
CPR-BLS (Basic Life Support)
Advanced Cardiovascular Life Support (ACLS)
Pediatric Advanced Life Support (PALS)
Cardiac Course Introduction
Cardiac A&P Module Intro
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Blood Flow Through The Heart
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Heart (Cardiac) Failure Module Intro
Nursing Care and Pathophysiology for Heart Failure (CHF)
Heart (Cardiac) Failure Therapeutic Management
Pacemakers
Cardiovascular Disorders (CVD) Module Intro
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology for Cardiomyopathy
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Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)