IV flush rate? SO confused, help!

Nurses General Nursing

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Hi, so I’m very confused about the flush rate for NS as primary. My hospital uses B Braun so I can set the NS as primary & abx as secondary for IVPB. I’m wondering what is the good rate for the NS to use as a flush after the meds? I do flush rate as 60mL/hr and VTBI as 30mL. I’m usually busy so that additional 30 mins give me enough time to prepare meds for my other pts, cluster care, etc. I also don’t want the pt to have fluid overload so is that a good rate? Or what is the good/usual flush rate that you set it to make sure the pt gets all the med?

I set the primary to infuse at the same rate as the antibiotic.  For the piggyback volume, as all IV bags have some overfill I usually program 15% more than the labeled volume.  For the primary volume I usually program 30 mL on the primary.  The primary volume should be based on the tubing you are using.

Flush runs at the same rate as the antibiotic (or whatever is the secondary)

Think about it - you're not giving the patient NS you're continuing the medication that's in the tubing. The medication hasn't completely infused until the flush is complete

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