IVIG question | allnurses

IVIG question

  1. 0 Hi! I have a question about administering IVIG. We've always done it here with a y conector to a D5W infusion. A nurse from another city who is here now has questioned why we do the Y site, as it wasnt' done at her previous facility. I did a search, and I can't find any mention of the need to Y it, so am unsure how we started doing it this way.

    does anyone else out there have a protocol similar to this?

  2. 6 Comments so far...

  3. Visit  WSU_Ally_RN profile page
    Is that what protocol at your facility says to do?? I also work at a hospital where we do not need to y site it into any other fluid... I'm interested to find out why you do...
  4. Visit  hemenurse profile page
    It's been this way for a very long time, I don't think it's ever been looked into before. I think the theory was that if the patient reacts, we have another line available for meds imediately, but don't think it's really nessesary now that I think about it. We don't do this for other drugs that have high reaction rates. Do you have an actual protocol on how to infuse at your facility? I'd be interested in looking at other protocols.
  5. Visit  med/oncRN profile page
    Check with your protocol and the pharmacy. At our facility we piggyback it on a pump. We use D5 or NS depends on the brand. Some also require a 1.2 macron filter (like for TPN). Start slow, some people have reactions. We give this frequently as we are an oncology/hematology floor.
  6. Visit  cannulator profile page
    I've seen it done both ways...it doesn't matter. But if you do have a primary line running, just be sure your solution is compatible with the brand of IVIG that you are using.
  7. Visit  lolalolacherrycola profile page
    I think the rationale for the Y connection is the same as it is for other blood products, in order to infuse another solution quickly in case of a reaction.
  8. Visit  emsdoc39 profile page
    A y connector is used in the case of a hemolytic or anaphalytic reaction it gives the nurse quick iv access without having to perform a second venipuncture. I hope this is helpful, I was a former paramedic and we always used y connector some referred to them as a k 52 to be able to hang a second bag of fluids or push rapid iv meds