HELPPP Piggyback compatibility

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So I have final scenario coming up in a couple of days. In the scenario, the patient has two peripheral lines: 1. KCL20 mmol/L D5W 0.45% Sodium Chloride that should infuse at 75 mL/hr and 2. Ringers Lactate continuous IV infusion for gastric loss replacement. Multi-1000 IVPB (Vitamins, multiple) should also be administered. I'm not sure where to piggyback the Multi1000, should I piggyback on KCL or LR? Why?

Also, the patient has an order for gastric loss replacement of 1:1/2, latest gastric loss is 1675 mL.

Lab values are:

Potassium 3.0

Sodium 116

Chloride 99

Thanks so much!

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What do you think and why?

This question will require use of drug book.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Like Mended heart says....what has your research told you?

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I think that I can piggyback it on either but it is better to piggyback it on the primary line that has KCL since the patient's potassium is not that low yet, and he does not really need the potassium stat, rather than the LR which he needs right away because of risk of dehydration.

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since the patient's potassium is not that low yet

What are the normal ranges for potassium?

What is the potassium being infused with?

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How long is your IVPB to run over?

Look up LR, it also contains Potassium. Honestly, If I were worried about stopping either of the maintenance fluids to run a IVPB, then I would hang it with some NS and Y site it in on a different pump.

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I think that I can piggyback it on either but it is better to piggyback it on the primary line that has KCL since the patient's potassium is not that low yet and he does not really need the potassium stat, rather than the LR which he needs right away because of risk of dehydration.[/quote']

Might want to rethink the potassium. Also there is a program that I use at work and you can get on your phone called MicroMedex. It has an IV compatibility feature.

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What are the normal ranges for potassium?

What is the potassium being infused with?

Normal range for potassium is 3.3-5.1

Potassium is in a primary bag with D5W and 0.45% Sodium chloride (KCL20 mmol/L D5W 0.45% Sodium Chloride that is to infuse at a rate of 75 mL/hr)

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Might want to rethink the potassium. Also there is a program that I use at work and you can get on your phone called MicroMedex. It has an IV compatibility feature.

I've already used this and found no interactions between Potassium vs Multi1000 (Vitamins, multiple). Also, the monograph states that Multi1000 is compatible with any commonly used IV solution, which the KCL bag also has (D5W and 0.45% Sodium chloride), so I'm kind of leaning to piggybacking it on the KCL primary

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How long is your IVPB to run over?

Look up LR, it also contains Potassium. Honestly, If I were worried about stopping either of the maintenance fluids to run a IVPB, then I would hang it with some NS and Y site it in on a different pump.

The monograph states that it is to run for over an hour in a 100mL - 1000mL of any commonly used IV solution.

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Normal range for potassium is 3.3-5.1

Potassium is in a primary bag with D5W and 0.45% Sodium chloride (KCL20 mmol/L D5W 0.45% Sodium Chloride that is to infuse at a rate of 75 mL/hr)

Sorry, I should have made it clear that I know the answers to this, but am trying to help you find the answers

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
The monograph states that it is to run for over an hour in a 100mL - 1000mL of any commonly used IV solution.

First usually MVI is mixed to one bag daily. But to anwer your question which bag in less harmful to the patient to interrupt. replacement fluids of the one with potassium?

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