Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Amphotericin B

I have been infusing a pt with 500cc of Ampho B. I set up the priamary line with D5W and the PB with the AmphoB. I have no problems priming the tubing but once I set the pump to infuse the Ampho the D5W drips instead. This has happened two nights in a row. The only way to stop it is to clamp the D5W with hemostats then the Ampho drips fine.

My question...is the Ampho B thicker than D5W therefore causing the "easier" of the two to flow (D5W)? Am I doing something wrong? Any solutions, I have stared at this tubing forever with no answer.

PS: I hooked it up as a PB since it is only compatible with D5W and wanted to make sure that is how it was flushed.

Featured Replies

The hosp I work at, we use double med pumps that we can set the drip rate. But, this is a ped hosp. It does work very well.

I use primary tubing for Ampho, and hook it to the primary D5W line via the port closest to the patient. That way the Ampho tubing goes through the pump. When the Ampho has infused, the pump alarm reminds me to switch over to the D5W tubing to flush the line.

Was the Ampho lots higher than the mainline? If you dilute with a larger bag the drip chamber ends up closer to the main line and may not drip.

  • Author

Good idea too hook them both up on primary lines. I did have the D5W much lower than the ampho which was mixed in a glass evacuated container (for some reason). Thanks for the ideas!

Another thought now that you say the ampho was in a glass bottle...

Was the piggytback tubing vented or did you need to place an additional vented spike between the tubing and the bottle? Not having vented tubing could have kept it from infusing.

  • Author

It was vented tubing.

Guest
This topic is now closed to further replies.
Go to topic listing

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications
Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.