IV fluid change frequency - page 2

HI! How frequently do you change out your standard IV fluids(NS, D5W, LR, etc.)? Every 24 hours? 48? 72? When empty? Have you seen any infections that might be contributed to contaminated IV... Read More

  1. by   New CCU RN
    Originally posted by lml33
    I was perturbed when I noticed that my patient's propofol tubing hadn't been changed for 48 hours! What about piggybacks? How often do you discard these? I thought it was q 24 hours. Maintenance tubing is q 72 hours. Is piggyback tubing to be changed q 24 hours? Leslie.
    WoW!!!!!

    We change Diprivan bottle and tubing q12, everything else bags are q24, tubing q72 except for TPN
  2. by   mady
    I'm working in a major trauma/cardiathoraric hospital in Melbourne/Australia. According to policy, all lines are changed every 7 days, except for propofol line which is changed every 24 hours. Fluid should be changed every 24 hours, however, no one seem to do it!!!!
  3. by   nowplayingEDRN
    Always follow your facility's policy and if you feel it is error, take your solid, info to the powers that can make the changes, but make sure your info is acurate and up to date.

    At our facility here, we still change fluid bags every 24 and the tubing and IV sites are changed every 72, unless otherwise recommended or required (TPN and Lipids get the tubing changed every 24, with a new bag because of infection control issues).

    Hope this helps some.

    Christie
  4. by   nowplayingEDRN
    Originally posted by lml33
    I was perturbed when I noticed that my patient's propofol tubing hadn't been changed for 48 hours! What about piggybacks? How often do you discard these? I thought it was q 24 hours. Maintenance tubing is q 72 hours. Is piggyback tubing to be changed q 24 hours? Leslie.
    Piggyback tubing gets changed every 72 hours as a rule of thumb, unless there is a reason, to change it more often. It's dangerous NOT to change drugs that are in a lipid based solution longer than 24 hours. Sounds like there is a nurse in your facility that is trying to create a potential septic situation and that can be dangerous and fatal ground for a critically ill pt (for any patient for that matter), for they are already deeply compromised. It's a pity that every nurse does not hold the same high standards for care as the rest of us.
  5. by   rileygrl11
    IV fluids are changed every 24 hours, tubing every 96 hours (I know,....WOW!). TPN and Lipids are changed every 24 hours. Blooding tubing is changed every 4 hours or every 2 units (which ever comes first).

    I am a stickler about dating tubing. I REALLY made a seasoned RN mad: If I don't find a sticker with the date on it, I get new stuff. Recently, she was complaining about how pitching the tubing "costs the patient so much more money." I told her if she would remember to date the tubing, I wouldn't have to throw it out and it wouldn't cost the patient more money. Being on an Oncology floor with immunosuppressed pts, you'd think she'd know better. Funny thing,.......she's dating the stickers now
  6. by   dragonfly954
    In response to Tory and the nurse that would not date the iv tubing...I had 13 week assignment in a small hospital on an oncology/diabetes floor.The nurses never had more than 5-6 patients,except at night they might have 8 or 9.The iv tubing kits for primary and secondary lines all contained stickers to date the tubing.As the agency nurse I was often floated all over the hospital(all the time).Rarely did I see the tubings being dated,but I often observed the stickers(unused)in the trash beside the discarded tubing.
  7. by   Miki13
    In Illinois,
    all IV tubing without additives and all piggyback tubing are changed Q72 hours,
    TPN and IVF bags Q24,
    lipid based including diprivan drip are changed Q12 hours,
    unfortunately nurses sometimes forget to chart when hung, or mark tubing at all, in which case I just change it all and label it. This can get expensive for patients but I believe safer!

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