Syringe Pump or Buretrol?

  1. when administering iv meds to newborns, does your hospital use a syringe pump or do you add your meds through a buretrol.....what are the pros and cons of each?
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  2. 17 Comments

  3. by   SmilingBluEyes
    Buretrol is what we use. I have not used anything different anywhere I worked..... And we put one hour's worth of fluid in it to infuse. It's a fairly safe system, used properly with any IV pump.
  4. by   unknown99
    Buretrol is what we use. It is much safer in that it has to be checked more often. The sets we have can only be set for one hour before an alarm will sound telling the nurse it has to be checked. And of course the IV site itself is checked every hour also.
  5. by   TiffyRN
    I work NICU and our unit always uses syringe pumps for "IV push" meds, generally given over 30-60minutes. We use Buretrols for our maintenance IV fluids allowing no more than 2 hours fluid in them at a time. Occasionally we will use a syringe pump to administer continuous fluids; generally UAC/art line fluids that run at 1ml/hr. I think the only reason we do that is lack of regular IV pumps.

    I remember adding meds (such as antibiotics) to buretrols when I did my rotation through Pediatrics in school. The only thing I've seen added like that at our hospital is concentrated KCL to an existing IVF.
  6. by   suzanne4
    Syringe pumps...........even for maint. fluids because they can be more accurate and you can run very small amounts, especially for pressors and versed/fentanyl gtts for the small ones............
  7. by   prmenrs
    Regular IV fluids via regular IV pump, meds, critical drips, and breast milk via syringe pumps.
  8. by   Mimi2RN
    We use buratrols for maintenance fluids, and syringe pumps for the meds we don't push, too. The problem with using the buratrol for meds on neonates is the volume of the fluid in the tubing. If we have an IV going at 10cc/hr, oops! 10ml/hour, and put the med into the buratrol, it won't reach the baby for over an hour and a half. Ampicillin is supposed to be infused in one hour after it's been mixed, so I hope that you are pushing that med.

    On peds, we use the buratrol for meds if the baby is over 6 months old.
  9. by   JVanRN
    We use Buratrol for any maintnence fluids also. Our pumps can also infuse at really small increments. (lipids going at 0.3 ml/hr) We use syringe pumps timed meds like antibiotics, boluses, stuff that doesn't run contiunuously. But on pedi we use burotrol for all meds.
  10. by   palesarah
    buretrol on the IV pump for fluids, syringe pump for meds here
    Last edit by palesarah on Apr 21, '05 : Reason: edited for typo- oops!
  11. by   BittyBabyGrower
    No buretrols here, not for at least 15 years. We use syringe pumps and Alaris pumps. Our peds floors don't use them anymore either.

    Mimi...we don't mix any of our meds anymore, we just got a satellite pharmacy and it is wonderful!
  12. by   dawngloves
    Only kids with maintance fluids or TPN have Buretrols in my unit.IV meds are given via syringe pump.
  13. by   SmilingBluEyes
    I should have said: we do use syringe pumps for medications for our newborns; Buretrols are use strictly for maintanence fluids only. I did not know we were discussing medications, too. Sorry about that.
  14. by   *PICURN*
    Maintenance IVF go through the buretrol. Any high risk or incompatible meds are put on a syringe pump (as well as all gtts). If the maintenance IVF is running at over 25cc/hr and the med you want to give is compatible, we drop it into the buretrol and adjust the rate to get the med in over a certain amt of time.

    The good thing about dropping meds into the buretrol vs. a syringe pump is the volume issue. If you have a kid who you don't want to fluid overload, and your med has to be mixed w/50 cc of fluid, instead of adding another 50cc and giving it over the syringe pump, you can mix it in the buretrol and avoid giving them unneccessary fluid.

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