Running multiple drips into one line - page 2

by IheartICUnursing

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I just wanted to ask how you all prefer to manage running multiple drips together into one line? I'm specifically thinking about pressors....For example, a patient who is on Levo, Neo, Vaso and Epi drips and they all need to go... Read More


  1. 0
    We have the "3 way's" at work and usually if someone is short on space we will attach those and hook an infusion up to each clave. Have seen it where people have hooked up pressors to the Y port on their IV lines, makes no sense to me, so I'll go in and change it to the 3 way connector when I take over, easier to track everything.
  2. 0
    When I run mutiple pressors, I use a 5 way stopcock device or try to have multiple lumens to infuse the medications through. I don't feel comfortable as you stated running all the pressures into one line. I feel this isn't safe for patient's and gives the nurse less control over the medications she/he is infusing. I personally prefer multiple lumens over stopcocks.

    If a patient is that sick, I would strongly encourage the physician to give me a CVL with multiple lumens as soon as I started to infuse multiple pressors.
  3. 0
    Quote from thompd01

    If a patient is that sick, I would strongly encourage the physician to give me a CVL with multiple lumens as soon as I started to infuse multiple pressors.
    which might work in an adult but the 2kg newborn with hypoplastic left heart and literally no substantial peripheral vessels doesn't get that option. We might get a double lumen UVC if lucky, otherwise its a single lumen and pivs that blow after 12 hours of use. So if it can run together it runs together.

    I've had kids with a RA line, LA line, PICC and still need pivs, access can be a disaster in the little ones.
  4. 0
    Id go for a manifold myself. The most important part of titrating pressors in one line/lumen is just as you thought... Not running one to a bolus and with a manifold - usually a 5-way manifold, all the drips go in as equal as how you really want the drug to go in depending on your titration so one wouldn't be flushing the other just in case you titrate one up and increasing its rate. In my experience, the runner (the fluid that runs on the main lumen and meets the other ports) is the key to effective titration. I usually run it at around 40cc/hr but depends on the patient's fluid status.


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