Last night, I had to give IV albumin and threw my hands up in disgust. It was SO hard to get the stupid tubing primed so that I could put the cartriage into the pump and run it. I had the vent open on the tubing (by the spike part). I remember awhile ago seeing another nurse prime her tubing somehow by using a syringe filled with NS. I can't remember how she did it but it was quick and it made it so she could just put it on the pump and go. Does anyone have any hints or advice on how to make this easier.
Jan 3, '04
Ive given jugs full of the stuff. I don't recall ever having a problem. I used the tubing that came with the albumin. I'm a little concerned about using an unfiltered needle to vent the bottle though.
Fill the drip chamber if it won't flow fill it all the way and squeeze the chamber to force the fluid down. You can then invert the bottle and squeeze to make an air space to count drops.
Last edit by P_RN on Jan 3, '04
I work in NICU so things might be a LITTLE different with us, as we usually just attach the filter and draw it up in syringes and give it on a syringe pump. But we have on occassion had to give lots of it and didn't have much trouble priming our regular IV tubing and filters with 5% albumin (we use Baxter tubing and Horizon infusion pumps) as long as the bottle was hung high enough. Then we just change out the albumin bottle Q4H.
Now, 25% is a different story! What we do is spike the bottle with the short filter tubing, and attach a 3-way stopcock to the end of it. Then we put a syringe on one of the stopcock ports, turn off the empty port (while keeping it capped for cleanliness), and litterally PULL the stuff through the tubing by pulling back on the syringe. Once the syringe gets full of air from the tubing, I shut off the stopcock towards the albumin tubing, uncap the empty port, and shoot the air out. Then I continue until the albumin is all the way through the tubing so I can draw it up into a syringe. I would think this method would work with regular IV tubing as well, just use a 60 cc syringe or something.
As I said, I work in a different area some maybe we do things differently!
Last edit by Gompers on Jan 19, '04