Drips

Nurses General Nursing

Published

Specializes in Pediatric Emergency Medicine.

I work in a very busy ER inner city ER....

I have a few questions.. I have seen these things done many different ways but no one definative protocol....

#1) When giving a IV bolus of Heparin what concentration do you use?

#2) Do you low port Heparin and use it as a secondary?

#3) Do you low port Diprovan or use it as a primary line?

#4) What meds does your facility low port?

Thanks.......

Up Vote Up Vote ×

I try to put everything on it's own line. I really like the three way extentions that run into the same IV cath. Each port has a different color and you can easily run three compatible drips into one site.

Propofol goes into it's own site. and I use the 5000 units per ML heparin concentration for my bolus. In most cases I simply bug the ER doc into letting me place multiple IV sites with multiple drips or suggest the placement of a central line.

Up Vote Up Vote ×
Specializes in NICU.

heparin runs alone. I didn't think it was compatible with anything else....

It depends on the med if I low port (y-site) it... depends on if it is compatible with the primary med. Sometimes I'll low port pepcid, kcl, Mg.... ONLY if it is compatible with my primary fluids...

Up Vote Up Vote ×
Specializes in Pediatric Emergency Medicine.

I always have a dedicated line for heparin but at the hospital in which I work many nurses hang heparin as a secondary with NS as a primary and low port it in.....

And I keep diprovan on a dedicated line as well but here again many nures low port it as a secondary to NS.....

Up Vote Up Vote ×
Specializes in Gyn Onc, OB, L&D, HH/Hospice/Palliative.

I always bolus w 5,000 U/ml, Heparin runs aloneI

Up Vote Up Vote ×

I always put everything on it's own seperate pump for infusion. Depending on what type of access I have, I will ususally y-site things like Fentanyl/versed/MIVF/propofol. TPN takes up it's own line. I always run epi/norepi/vasopressin together, etc. I usually use my swan for ABX and other scheduled IV meds.

Up Vote Up Vote ×
+ Add a Comment